A Long Survival Male Case of Liver, Breast and Axillary Lymph Nodes Metastasis from Rectal Carcinoma

Kazuhisa Hirayama, Toshio Nakamura, Hiroyuki Kimata, Hidehumi Kashiwabara Kenichi Sunayama, Kou Oohata, Shohachi Suzuki, Hiroyuki Konnon, Satoshi Baba¹⁾ and Satoshi Nakamura

Department of Surgery II, Department of Pathology¹⁾, Hamamatsu University of Medicine

The breast metastasis of colorectal carcinoma to the breast is rare, and radical surgery for this disease rarely improves a patient's prognosis due to the frequency of multiple metastasis. A 52-year-old man underwent low anterior resection for rectal carcinoma in March 1994 and partial hepatectomy for solitary metachronous hepatic metastasis 1 year after resection of the primary lesion. The patient underwent excision 2 more times for painless flat tumors of the right breast in May and October 1995, both tumors being histologically moderately differentiated adenocarcinoma compatible with rectal carcinoma. Since the right axillary lymph nodes became gradually swollen and no other metastatic lesions were identified, we conducted radical mastectomy (Br + Ax + Mn) in December 1995. Histological examination showed 5 further axillary lymph node metastases. The man remains disease-free 53 months after the radical mastectomy. No report has been made, to our knowledge, of such a long-surviving case following breast resection from colorectal carcinoma.

Key words
colorectal carcinoma, breast metastasis, liver metastasis

Reprint requests
Kazuhisa Hirayama Department of Surgery II, Hamamatsu University of Medicine 3600 Handa-cho, Hamamatsu, 431-3192 JAPAN

Accepted
October 31, 2000

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