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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 28, 2015; 21(44): 12722-12728
Published online Nov 28, 2015. doi: 10.3748/wjg.v21.i44.12722
Published online Nov 28, 2015. doi: 10.3748/wjg.v21.i44.12722
Successful resection of metachronous para-aortic, Virchow lymph node and liver metastatic recurrence of rectal cancer
Nobuyoshi Takeshita, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Isamu Hoshino, Takumi Ota, Tetsuro Maruyama, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan
Hisahiro Matsubara, Department of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8670, Japan
Author contributions: Takeshita N and Matsubara H planned the report; Takeshita N, Fukunaga T, Kimura M, Sugamoto Y, Tasaki K, Hoshino I, Ota T, Maruyama T, Tamachi T, Hosokawa T and Asai Y performed the treatment for this case; and Takeshita N wrote the paper.
Institutional review board statement: The case report was reviewed and approved by Numazu City Hospital Institutional Review Board.
Informed consent statement: The patient provided informed written consent prior to treatment and publication.
Conflict-of-interest statement: We have no financial relationships to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Nobuyoshi Takeshita MD, PhD, Department of Surgery, Numazu City Hospital, Sizuoka, Shizuoka 410-0302, Japan. ntakeshita1225@gmail.com
Telephone: +81-55-9245100 Fax: +81-55-9245133
Received: March 19, 2015
Peer-review started: March 20, 2015
First decision: July 17, 2015
Revised: August 17, 2015
Accepted: September 13, 2015
Article in press: September 14, 2015
Published online: November 28, 2015
Processing time: 252 Days and 16.5 Hours
Peer-review started: March 20, 2015
First decision: July 17, 2015
Revised: August 17, 2015
Accepted: September 13, 2015
Article in press: September 14, 2015
Published online: November 28, 2015
Processing time: 252 Days and 16.5 Hours
Core Tip
Core tip: A 66-year-old female who had para-aortic lymph node metastasis and peritoneal dissemination of rectal cancer underwent Hartmann’s operation. Beginning from stage IV, liver metastasis, para-aortic and hepato-duodenal ligament lymph node and Virchow lymph node recurrence were detected during follow up period. According to the previous reports, the resection of these severe recurrences is controversial. We conducted four operations during 8 years for Stage IV rectal cancer and its recurrences. Finally, there is no recurrence radiologically. It should be considered that surgical resection may bring longer term survival especially in cases with difficulty in management of chemotherapy.