Peritoneal colon cancer metastasis to bilateral inguinal hernia repair sites: report of a case.
Peritoneal colon cancer metastasis to bilateral inguinal hernia repair sites: report of a case.
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腹膜结肠癌双侧腹股沟疝修补部位转移一例报告。
DOI：
10.1007/s00595-014-1037-7
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发表时间：
2015
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et al.
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作者：
Kudou M;Murayama Y;Konishi H;Morimura R;Komatsu S;Shiozaki A;Kuriu Y;Ikoma H;Kubota T;Nakanishi M;Ichikawa D;Fujiwara H;Okamoto K;Sakakura C;et al.
我们报告一个罕见的情况下，腹膜转移的结肠癌被发现在腹股沟疝修补术的双边网站。患者为85岁男性，因粪便潜血试验阳性接受结肠镜检查，随后诊断为升结肠癌。6年前，他在另一家医院接受了双侧腹股沟疝补片修补术。我们进行了腹腔镜辅助右半结肠切除术，并在腹股沟疝修补术的双侧疤痕中发现了淋巴结。活检证实两个淋巴结均为腹膜转移，导致假设腹腔内扩散的癌细胞已植入修复部位，尽管其机制尚不清楚。已报告了炎症与腹膜转移之间的关系;因此，我们推测补片塞的慢性刺激和腹膜创伤导致的局部炎症导致修复部位的腹膜转移。
We report a rare case of peritoneal metastasis from colon cancer being found in the bilateral sites of inguinal hernia repair. The patient was an 85-year-old man who underwent colonoscopy for a positive fecal occult blood test, with a subsequent diagnosis of ascending colon cancer. He had undergone mesh plug repair for bilateral inguinal hernias at another hospital 6 years previously. We performed laparoscopy-assisted right hemi-colectomy and found nodes in the bilateral scars from the inguinal hernioplasty. Biopsy confirmed that both of the nodes were peritoneal metastasis, leading to the assumption that cancer cells disseminated within the abdominal cavity had been implanted at the repair sites, although the mechanism for this was unclear. A relationship between inflammation and peritoneal metastasis has been reported; thus, we speculated that local inflammation resulting from chronic stimulus of mesh plugs and peritoneal trauma caused peritoneal metastasis at the repair sites.