Surgical Resection of a Solitary Metachronous Retrocaval Lymph Node Metastasis above the Renal Vein from Rectal Cancer.

IF 0.7 Q4 SURGERY

Surgical Case Reports Pub Date : 2025-01-01 Epub Date: 2025-07-18 DOI:10.70352/scrj.cr.25-0325

Yui Sawa, Yoshihiro Ono, Manabu Takamatsu, Gaku Shimane, Hayato Baba, Ryota Ito, Kota Sugiura, Yoshiyuki Shibata, Kaoru Nakano, Toshiki Mukai, Kosuke Kobayashi, Atsushi Oba, Yosuke Inoue, Hiromichi Ito, Takashi Akiyoshi, Yu Takahashi

{"title":"Surgical Resection of a Solitary Metachronous Retrocaval Lymph Node Metastasis above the Renal Vein from Rectal Cancer.","authors":"Yui Sawa, Yoshihiro Ono, Manabu Takamatsu, Gaku Shimane, Hayato Baba, Ryota Ito, Kota Sugiura, Yoshiyuki Shibata, Kaoru Nakano, Toshiki Mukai, Kosuke Kobayashi, Atsushi Oba, Yosuke Inoue, Hiromichi Ito, Takashi Akiyoshi, Yu Takahashi","doi":"10.70352/scrj.cr.25-0325","DOIUrl":null,"url":null,"abstract":"Introduction: Colorectal cancer (CRC) can metastasize to various sites, including the liver, lungs, ovaries, adrenal glands, and lymph nodes. Approximately 1%-2% of patients with CRC develop para-aortic lymph node metastases. Herein, we report a case of surgical resection of an isolated, metachronous, retrocaval lymph node recurrence of rectal cancer above the renal vein.Case presentation: A 77-year-old woman was diagnosed with a solitary metachronous retrocaval lymph node metastasis from rectal cancer. The patient underwent robot-assisted laparoscopic abdominoperineal resection. The pathological status was T3, N0, M0, or Stage IIA. No recurrence was observed for 13 months after the initial surgery. CT revealed a 24-mm tumor on the dorsal side of the inferior vena cava (IVC). Tumor resection was performed, including right adrenalectomy, Spiegel lobectomy, and partial resection of the IVC. Pathological findings revealed adenocarcinoma metastasis to a solitary lymph node, which invaded the IVC and Spiegel lobe.Conclusions: This is the first report of a surgical resection of a retrocaval lymph node metastasis from CRC that invaded both the IVC wall and the liver.","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319565/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.70352/scrj.cr.25-0325","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/18 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Colorectal cancer (CRC) can metastasize to various sites, including the liver, lungs, ovaries, adrenal glands, and lymph nodes. Approximately 1%-2% of patients with CRC develop para-aortic lymph node metastases. Herein, we report a case of surgical resection of an isolated, metachronous, retrocaval lymph node recurrence of rectal cancer above the renal vein.

Case presentation: A 77-year-old woman was diagnosed with a solitary metachronous retrocaval lymph node metastasis from rectal cancer. The patient underwent robot-assisted laparoscopic abdominoperineal resection. The pathological status was T3, N0, M0, or Stage IIA. No recurrence was observed for 13 months after the initial surgery. CT revealed a 24-mm tumor on the dorsal side of the inferior vena cava (IVC). Tumor resection was performed, including right adrenalectomy, Spiegel lobectomy, and partial resection of the IVC. Pathological findings revealed adenocarcinoma metastasis to a solitary lymph node, which invaded the IVC and Spiegel lobe.

Conclusions: This is the first report of a surgical resection of a retrocaval lymph node metastasis from CRC that invaded both the IVC wall and the liver.

查看原文本刊更多论文

直肠癌肾静脉上方单发异时性腔静脉后淋巴结转移的手术切除。

结直肠癌（CRC）可以转移到多种部位，包括肝、肺、卵巢、肾上腺和淋巴结。大约1%-2%的结直肠癌患者发生主动脉旁淋巴结转移。在此，我们报告一例手术切除孤立的，异时性，腔静脉后淋巴结复发的直肠癌肾静脉以上。病例介绍：一位77岁的女性被诊断为直肠癌单发异时性腔静脉后淋巴结转移。患者接受了机器人辅助腹腔镜腹部会阴切除术。病理分期为T3、N0、M0、IIA期。术后13个月未见复发。CT示下腔静脉（IVC）背侧一24mm肿瘤。行肿瘤切除术，包括右肾上腺切除术、Spiegel肺叶切除术和部分下腔静脉切除术。病理结果显示腺癌转移到一个孤立淋巴结，并侵犯下腔静脉和Spiegel叶。结论：这是首例手术切除侵犯下腔管壁和肝脏的结直肠癌腔后淋巴结转移的报道。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Surgical Case Reports SURGERY-

自引率

0.00%

发文量

218

审稿时长

13 weeks