Descoberta simultânea de carcinomatose disseminada e carcinoma de cólon, após colecistectomia laparoscópica

Show simple item record Azevedo, João Luiz Moreira Coutinho [UNIFESP] Matos, Delcio [UNIFESP] Azevedo, Otávio Cansanção [UNIFESP] 2015-06-14T13:25:05Z 2015-06-14T13:25:05Z 2000-08-01
dc.identifier.citation Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 27, n. 4, p. 284-286, 2000.
dc.identifier.issn 0100-6991
dc.description.abstract A particularly rapid and fatal outcome has been noted in cases of malignant soft-tissue metastases occurring after cancer surgery. Abdominal wall metastases occurring in scars after laparotomy for cancer resection show a similar poor outcome. On the other hand, neoplasm seeding at trocar sites after laparoscopy has been reported with an increasing frequency. A case is presented of a 68-years-old woman with metastatic seeding of non-diagnosed colon cancer at the umbilical trocar site used for a laparoscopic cholecystectomy. The gallbladder was extracted through the umbilical incision. Pathological examination confirmed chronic cholecystitis. Eight months latter, the patient was seen with a tender umbilical mass protruded through a 4,5 cm the umbilical incision site. Biopsies of this tissue were taken and histopathological examination showed metastatic adenocarcinoma, probably of a gastrointestinal origin. A colonoscopy performed at the same time revealed a 2-cm lesion at the hepatic flexur which was shown to be a differentiated adenocarcinoma. An 8.0 x 6.0 x 6.0-cm pelvic mass without signs of liver metastases was identified by computerised tomography. Diagnostic laparoscopy showed a diffuse peritoneal carcinomatosis. The pelvis could not be approached, except for simple biopsy, and no surgical procedure was performed. It is presumed that the primary colon cancer existed prior to cholecystectomy. Laparoscopy is the procedure of choice to perform cholecystectomy and fundoplication. It has also been increasingly used to diagnose, resect and perform the staging of malignant tumours. As in any relatively new technique, questions arising about its safety and risk of complications must be extensively studied. Many questions about the specific features of laparoscopy promoting cancer growth remain unanswered. en
dc.format.extent 284-286
dc.language.iso por
dc.publisher Colégio Brasileiro de Cirurgiões
dc.relation.ispartof Revista do Colégio Brasileiro de Cirurgiões
dc.rights Acesso aberto
dc.subject Neoplasm metastasis en
dc.subject Colorectal neoplasm en
dc.subject Laparoscopy en
dc.subject Cholecystectomy en
dc.title Descoberta simultânea de carcinomatose disseminada e carcinoma de cólon, após colecistectomia laparoscópica pt
dc.title.alternative Unsuspected colon adenocarcinoma revealed after laparoscopic cholecystectomy en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Hospital do Servidor Público Estadual de São Paulo
dc.description.affiliation UNIFESP-EPM Departamento de Cirurgia
dc.description.affiliation Hospital do Servidor Público Estadual de São Paulo
dc.description.affiliationUnifesp UNIFESP, EPM, Depto. de Cirurgia
dc.identifier.file S0100-69912000000400011.pdf
dc.identifier.scielo S0100-69912000000400011
dc.identifier.doi 10.1590/S0100-69912000000400011
dc.description.source SciELO


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