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    Unusual bony colorectal metastases in post-hepatometastasectomy patients.

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    Authors
    Sheen, Aali J
    Drake, David
    Langton, Stephen
    Sherlock, David J
    Affiliation
    Departments of Surgery, North Manchester General and Christie Hospitals, Manchester, UK.
    Issue Date
    2002
    
    Metadata
    Show full item record
    Abstract
    Colorectal cancer metastases occur predominantly in the liver, with extrahepatic sites being far less common and equally distributed in the lung, brain, skin, and bone. We report two cases of unusual bony metastases of colorectal cancer. A 55-year-old man underwent an abdominoperineal resection for a Dukes B carcinoma of the rectum, followed 17 months later by a right hemihepatectomy for metachronous liver metastases. He subsequently presented 11 months later with a solitary metastatic deposit in the mandible. Seven months after resection and reconstruction, he remained well and disease-free. A 67-year-old man underwent a right hemicolectomy and right hemihepatectomy for carcinoma of the cecum and synchronous liver metastases. He presented 16 months later with a lesion suspicious of metastases in his clavicle. He subsequently died 18 months after his original operation. The prolongation of survival after hepatic metastasectomy results in the presentation of metastases at sites not commonly seen in colorectal malignancy. Postoperative surveillance after apparently curative hepatectomy should be directed to the evaluation of any unusual new symptoms.
    Citation
    Unusual bony colorectal metastases in post-hepatometastasectomy patients. 2002, 9 (3):379-82 J Hepatobiliary Pancreat Surg
    Journal
    Journal of Hepato-Biliary Pancreatic Surgery
    URI
    http://hdl.handle.net/10541/80147
    DOI
    10.1007/s005340200044
    PubMed ID
    12353151
    Type
    Article
    Language
    en
    ISSN
    0944-1166
    ae974a485f413a2113503eed53cd6c53
    10.1007/s005340200044
    Scopus Count
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