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Indian Journal of Surgical Oncology

23-04-2024 | Colon Cancer | Original Article

Isolated Inguinal Lymph Node Metastasis from Colon Cancer: A Case Report

Authors: Ahmed Motamiez, Ali Zedan, Mohamed Samir, Israa Mostafa Kamal, Ebrahim Aboeleuon

Published in: Indian Journal of Surgical Oncology

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Abstract

Lymphatic spread of colon cancer usually occurs via mesenteric vessels (superior and inferior mesenteric vessels), but inguinal lymph node (LN) metastasis from colon cancer is extremely rare with only few reported cases in the literature. A case of a 35-year-old female patient with a history of sigmoid cancer underwent sigmoidectomy and left salpingo-oopherectomy in 2016 and received adjuvant chemotherapy then presented in 2023 with metastatic left inguinal LNs and underwent left inguinal LN dissection. We reported a rare case of isolated metachronous inguinal lymph node metastasis from colon cancer with a round ligament route of spread as the hypothesized mechanism. Surgical resection with inguinal LN dissection is the preferred treatment option for isolated inguinal lymph node metastasis from colon cancer followed by adjuvant chemotherapy, yet long term follow-up data is needed to support this strategy.
Literature
1.
Pisanu A et al (2011) Unusual metachronous isolated inguinal lymph node metastasis from adenocarcinoma of the sigmoid colon. World J Surg Oncol 9(1):1–4CrossRef
2.
Tanabe T et al (2019) Metachronous metastasis to inguinal lymph nodes from sigmoid colon adenocarcinoma with abdominal wall metastasis: a case report. BMC Cancer 19:1–5CrossRef
3.
Kitano Y et al (2017) Ascending colon cancer with synchronous external iliac and inguinal lymph node metastases but without regional lymph node metastasis: a case report and brief literature review. Surgical Case Reports 3:1–4CrossRef
4.
Hakeem A et al (2009) Inguinal lymphadenopathy secondary to adenocarcinoma of caecum: a case report. Open Medicine 4(1):131–133CrossRef
5.
Hara M et al (2013) Curatively resected isolated inguinal lymph node metastasis from cecum cancer: report of a case. Surg Today 43:88–90CrossRefPubMed
6.
Iwamoto M et al (2015) Adenocarcinoma arising at a colostomy site with inguinal lymph node metastasis: report of a case. Jpn J Clin Oncol 45(2):217–220CrossRefPubMed
7.
Mahmoud N, Dunn KB (2010) Metastasectomy for stage IV colorectal cancer. Dis Colon Rectum 53(7):1080–1092CrossRefPubMed
8.
Choi PW et al (2010) Extensive lymphadenectomy in colorectal cancer with isolated para-aortic lymph node metastasis below the level of renal vessels. J Surg Oncol 101(1):66–71CrossRefPubMed
Metadata
Title
Isolated Inguinal Lymph Node Metastasis from Colon Cancer: A Case Report
Authors
Ahmed Motamiez
Ali Zedan
Mohamed Samir
Israa Mostafa Kamal
Ebrahim Aboeleuon
Publication date
23-04-2024
Publisher
Springer India
Published in
Indian Journal of Surgical Oncology
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI
https://doi.org/10.1007/s13193-024-01940-y