A Case of Metastatic Colon Carcinoma Originating from the Uterus

Hirokazu Taniguchi, Mitsugu Sekimoto, Naohiro Tomita, Masayuki Ohue, Yasuhiro Tamaki, Isao Sakita, Masakazu Ikenaga, Yasuhiro Miyake, Masaru Ohoka and Morito Monden

Department of Surgery II, Osaka University Medical School

A 52-year-old woman underwent radical hysterectomy, preoperative chemotherapy, and postoperative radiotherapy for uterine carcinoma in 1993. In June 1997, She complained of abdominal pains and vomiting. A barium enema study and colonoscopy revealed a round stenosis of the sigmoid colon with a smooth surface but no tumors. The lesion was diagnosed as a stenosis due to radiation colitis, and laparoscopy assisted resection of the sigmoid colon was performed. The postoperative pathological diagnosis was vasculogenous metastasis from uterine cancer. There have been few reports on vasculogenous metastatic colon carcinoma, and many were due to hematogenic metastasis of lung cancer. We reported here a case of vasculogenous metastasis to colon carcinoma from uterine cancer.

Key words
vasculogenous metastasis, metastatic colon cancer, uterine cancer

Reprint requests
Hirokazu Taniguchi Department of Surgery II, Osaka University 2-2 Yamadaoka, Suita city, 565-0871 JAPAN

Accepted
January 26, 2000

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