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  • Title: [Multiorgan resection in T4 colonic adenocarcinoma. Report of a case].
    Author: Oñate-Ocaña LF, Herrera-Goepfert R, Aiello-Crocifoglio V, Mondragón-Sánchez R, Ruiz-Molina JM.
    Journal: Rev Gastroenterol Mex; 2000; 65(1):26-9. PubMed ID: 11464588.
    Abstract:
    BACKGROUND: Colorectal cancer is the second among gastrointestinal malignancies in Mexico Locally advanced disease or metastatic lesions are frequently found. To resect or not such a tumor is a difficult decision. OBJECTIVE: To report a case of colon cancer with multivisceral invasion resected and to review the published information. CLINICAL MATERIAL: A 43 year-old Mexican male with rectal bleeding and weight loss with a tumor located in transverse colon with direct invasion to stomach. CT scan demonstrated invasion to spleen and pancreas. En-bloc radical-extended right colectomy, total gastrectomy, distal pancreatectomy, splenectomy and left adrenalectomy was performed. Adjuvant chemotherapy was used. At 12-month follow-up he is asymptomatic, without neoplasic activity and with good quality of life. CONCLUSION: An aggressive multiorganic resection in T4 colorectal tumors is justified in selected cases. The high morbidity and mortality of these procedures must be evaluated individually, and if permissive must be performed.
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