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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2014; 6(8): 164-168
Published online Aug 27, 2014. doi: 10.4240/wjgs.v6.i8.164
Published online Aug 27, 2014. doi: 10.4240/wjgs.v6.i8.164
Solitary mediastinal lymph node recurrence after curative resection of colon cancer
Yasuhiro Matsuda, Masahiko Yano, Norikatsu Miyoshi, Shingo Noura, Masayuki Ohue, Keijiro Sugimura, Masaaki Motoori, Kentaro Kishi, Yoshiyuki Fujiwara, Kunihito Gotoh, Shigeru Marubashi, Hirofumi Akita, Hidenori Takahashi, Masato Sakon, Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Disease, Osaka 537-8511, Japan
Author contributions: Matsuda Y and Yano M designed the report; Miyoshi N, Noura S, Ohue M, Sugimura K, Motoori M and Sakon M made a decision of the treatment; Kishi K, Fujiwara Y, Gotoh K, Marubashi S, Akita H and Takahashi H collected the patient’s clinical data; Matsuda Y and Yano M analyzed the data and wrote the paper.
Supported by Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Disease, Osaka 537-8511, Japan
Correspondence to: Masahiko Yano, MD, PhD, Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Disease, 1-3-3 Nakamichi, Higashinari-ku, Osaka 537-8511, Japan. yano-ma@mc.pref.osaka.jp
Telephone: +81-6-69721181 Fax: +81-6-69818055
Received: February 26, 2014
Revised: March 27, 2014
Accepted: July 18, 2014
Published online: August 27, 2014
Processing time: 182 Days and 4.2 Hours
Revised: March 27, 2014
Accepted: July 18, 2014
Published online: August 27, 2014
Processing time: 182 Days and 4.2 Hours
Core Tip
Core tip: The first site of recurrence of colon cancer is rarely the mediastinal lymph nodes, and solitary recurrence at this site without another site of recurrence is extremely rare. The operative indication and prognostic significance of the resection of mediastinal lymph node metastasis has not been determined because such recurrence is very rare. Patients should be followed up after colon cancer surgery considering the possibility of solitary mediastinal lymph node recurrence if they had para-aortic node metastasis at the time of initial surgery.