골격근으로 전이된 대장암 1예
Skeletal Muscle Metastasis from Colorectal Cancer: Report of a Case
최평화, 김철남, 김한성, 이정민, 허태길, 박제훈, 이명수, 장석효,
소속 상세정보
최평화 ( Choi Pyong-Wha )
인제대학교 의과대학 일산백병원 외과학교실
김철남 ( Kim Chul-Nam )
인제대학교 의과대학 일산백병원 외과학교실
김한성 ( Kim Han-Seong )
인제대학교 의과대학 일산백병원 병리학교실
이정민 ( Lee Jung-Min )
인제대학교 의과대학 일산백병원 외과학교실
허태길 ( Heo Tae-Kil )
인제대학교 의과대학 일산백병원 외과학교실
박제훈 ( Park Je-Hoon )
인제대학교 의과대학 일산백병원 외과학교실
이명수 ( Lee Myung-Soo )
인제대학교 의과대학 일산백병원 외과학교실
장석효 ( Chang Surk-Hyo )
인제대학교 의과대학 일산백병원 외과학교실
KMID : 0356720080240060492
Abstract
Metastases from colorectal cancer can occur by either lymphatic or hematogenous spread, and the sites most commonly involved are the liver and lung. Although skeletal muscle comprises a considerable portion of body mass and receives abundant blood supply, it is one of the most unusual sites of metastasis from any malignancies. We report a case of skeletal muscle metastasis from colorectal cancer. An 83-year-old female patient presented with a painful mass in the right posterior thigh. She had already undergone low anterior resection and right lobectomy of liver for rectal cancer with liver metastasis (T2N1M1) about 4 years ago. Although a follow-up computed tomography scan showed a metastatic solitary pulmonary nodule in the left lobe 2 years after the primary operation, she refused further aggressive treatment. Magnetic resonance imaging showed a localized mass in the semimembranosus muscle of the right thigh, and fine-needle aspiration cytology demonstrated clusters of atypical cells compatible with adenocarcinoma. The patient underwent excision of the painful mass located in the right semimembranosus muscle. Histologically, the thigh mass proved to be adenocarcinoma identical to the primary lesion. The patient died of heart failure on the 2nd postoperative day.
키워드
대장암;골격;전이
Colorectal cancer;Skeletal muscle;Metastasis
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