A Resected Case of Metachronous Metastatic Lung, Thyroid, and Adrenal Cancer from Sigmoid Colon Cancer

Kazuhisa Shirai, Keiya Aono, Noriji Niinomi, Shunpei Yokoi and Satoaki Kamiya

Department of Surgery, Anjo Kosei Hospital

We report a case of resected metachronous metastatic lung, thyroid, and aderenal cancer from sigmoid colon cancer. 47-year-old woman underwent sigmoidectomy due to adenocarcinoma of the sigmoid colon in February 7, 1994. Histological findings showed moderately differentiated adenocarcinoma-ss, ly1, v0, n0, stage II in the Japanese colorectal cancer classification. About 3 years later, she reported cough and fever, and a chest X-ray revealed a solitary nodule in the right upper lobe, and right upper lobectomy was conducted on September 10, 1997. One month later, she was found to have a solitary mass in the left thyroid lobe, necessitating left thyroid lobectomy. One year later, her serum carcinoembryonic antigen levels rose to 43.2ng/ml. Computed tomography showed a right adrenal mass, right adrenalectomy on July 8, 1998. All specimens showed adenocarcinoma the same as for sigmoid colon cancer. She has led a normal life since the last operation.

Key words
colon cancer lung metastasis, colon cancer thyroid metastasis, colon cancer adrenal metastasis

Reprint requests
Kazuhisa Shirai Department of Surgery, Kamo Hospital 3-17 Motoshirocho, Toyota, 471-8505 JAPAN

Accepted
June 26, 2001

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