Peritoneal cecal cancer metastasis to a mesh-plug prosthesis:A case report.

Abstract

We report the case of a 77-year-old man who presented to our hospital with cecal cancer, lung metastasis, and liver metastasis in January 2013. After four courses of modified infusional intravenous fluorouracil and levofolinate with oxaliplatin (mFOLFOX 6) + bevacizumab, there was no new metastatic lesion and lung metastasis reduction was observed. Ileocecal resection was performed in May, left lower lung lobectomy in August, and extended right posterior segmentectomy + S8 partial liver resection was performed in December. The tumor marker declined initially;thereafter, it gradually increased. Computed tomography (CT) performed in April 2014 revealed right inguinal mass around the mesh-plug prosthesis. A positron emission tomography-CT (PET-CT) also revealed a high 2-fluoro-2-deoxy-D-glucose (FDG) uptake at the same site. Right inguinal tumor resection was performed in July. Cancer tissues were confirmed by performing intraoperative rapid pathological diagnosis, and R0 resection could be achieved. Previous studies have reported malignant tumor metastases to the mesh-plug prosthesis, and this was believed to one of the sites that cancer cells can easily engraft. In particular, in patients with a history of advanced malignant tumors, if mass formation around the artifact insertion site is observed, the possibility of peritoneal metastasis should be considered. J. Med. Invest. 65:142-146, February, 2018.

• Authors: Itaru Shigeyoshi, Koji Komori, Takashi Kinoshita, Taihei Oshiro, Seiji Ito, Tetsuya Abe, Yoshiki Senda, Kazunari Misawa, Yuichi Ito, Norihisa Uemura, Seiji Natsume, Eiji Higaki, Byonggu An, Akira Ouchi, Masayuki Tsutsuyama, Takahiro Hosoi, Daisuke Hayashi, Hideharu Tanaka, Tairin Uchino, Aina Kunitomo, Yasuhiro Shimizu
• Journal: The journal of medical investigation : JMI (J Med Invest) Vol. 65 Issue 1.2 Pg. 142-146 ( 2018) ISSN: 1349-6867 [Electronic] Japan
• PMID: 29593186 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Cecal Neoplasms (pathology)
• Humans
• Male
• Peritoneal Neoplasms (pathology, secondary)
• Surgical Mesh (adverse effects)