Isolated Wound Implantation of Colorectal Cancer: A Case Report
Author Information
Author(s): Chandra Aninda, Lee Lester, Hossain Fahad, Johal Harnaik
Primary Institution: Department of General Surgery, Queen Mary's Hospital Sidcup, Sidcup, UK
Hypothesis
Isolated wound recurrences of colorectal adenocarcinoma after open surgery are rare and often underestimated.
Conclusion
The case illustrates that isolated wound implantation of colorectal adenocarcinoma can occur years after surgery, particularly in the presence of incisional hernias.
Supporting Evidence
- The patient presented with an incisional hernia 3.5 years after surgery.
- Histology confirmed the mass was an adenocarcinoma of colonic origin.
- The literature indicates that isolated wound recurrences are rare, with incidences reported as low as 0.2%.
Takeaway
Sometimes, cancer can come back in a surprising place, like a scar from surgery, even years later. This case shows how important it is to check for new problems in those areas.
Methodology
The case report includes a literature review and details of the patient's surgical history, imaging, and histological findings.
Potential Biases
Potential bias in the interpretation of imaging results due to the unusual presentation of the tumor.
Limitations
The rarity of isolated wound recurrences makes it difficult to draw broad conclusions from a single case.
Participant Demographics
An 83-year-old female patient.
Digital Object Identifier (DOI)
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