Abstract
Labai retai tiesiosios žarnos vėžio metastazės plinta į varpą. Literatūros duomenimis, tokių atvejų yra aprašyta mažiau kaip 40. Prognozė yra bloga ir išgyvenamumas trumpas. Tiesiosios žarnos vėžio metastazių plitimo į varpą mechanizmas nežinomas. Populiariausia teorija yra apie retrogradinį veninį plitimą. Aprašoma keletas gydymo metodų, tačiau nė vienas nėra pranašesnis. Autoriai pristato 41 metų amžiaus vyro klinikinį atvejį. Vyrui buvo diagnozuotas tiesiosios žarnos vėžys, prieš operaciją taikyta radioterapija, paskui operacinis gydymas ir pooperacinė chemoterapija. Nepaisant to, po dvejų metų išsivystė metastazės varpoje. Po metastazių diagnozės ligonis išgyveno du mėnesius.
Highlights
Rectal cancer is not a rare disease
We report a case of 41 year old man who underwent rectal resection, was treated with adjuvant chemoradiotherapy, and later developed metastases to the penis
A 41 year old man diagnosed with rectal cancer without distant metastases, underwent preoperative radiotherapy in October, 2007
Summary
Rectal cancer is not a rare disease. It mainly metastasises to regional lymph nodes, liver, lung, and bones. Metastatic involvement of the penis in rectal carcinoma is a very rare condition. The first case was reported in 1870 by Eberth [1]. Other more frequent primary sites of origin are bladder (33%), prostate (30%), colon (17%), and kidney (7%) [2]. We have performed a literature search and found only 38 cases of rectal cancer spreading to the penis. We report a case of 41 year old man who underwent rectal resection, was treated with adjuvant chemoradiotherapy, and later developed metastases to the penis
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