Treatment of tumor thrombus in the superior mesenteric vein due to advanced colon cancer with complete surgical resection and chemotherapy: a case report
Tóm tắt
Tumor thrombus in the superior mesenteric vein secondary to colon cancer is rare. We report a case of tumor thrombus in the superior mesenteric vein and liver metastasis due to advanced colon cancer that was treated with chemotherapy and complete surgical resection. A 72-year-old man after transverse colectomy with lymph node dissection for advanced colon cancer was diagnosed with tumor thrombus in the superior mesenteric vein and liver metastasis. He underwent adjuvant chemotherapy and had complete surgical tumor resection involving tumor thrombectomy and hepatectomy. There has been no recurrence at 36 months after surgery. Herein, we report a rare case of tumor thrombus in the superior mesenteric vein related to advanced colon cancer. The combination of chemotherapy and complete surgical tumor resection may provide long-term survival.
Tài liệu tham khảo
Tanaka A, Takeda R, Mukaihara S, Hayakawa K, Tasuku K, Terajima H, et al. Tumor thrombi in the portal vein system originating from gastrointestinal tract cancer. J Gastroenterol. 2002;37:220–8.
Sato O, Kiba M, Tazoe J, Matsumoto T, Iida S, Morishita H, et al. Examination of Venous tumour thrombus with colorectal cancer by enhanced CT. Rinsho Housyasen. 2010;55:420–6 ((in Japanese)).
Tada K, Kokudo N, Seki M, Ueno M, Azekura K, Ohta H, et al. Hepatic resection for colorectal metastasis with macroscopic tumor thrombus in the portal vein. World J Surg. 2003;27:299–303.
Otani K, Ishihara S, Hata K, Murono K, Sasaki K, Yasuda K, et al. Colorectal cancer with venous tumor thrombosis. Asian J Surg. 2018;41:197–202.
Zisman A, Wieder JA, Pantuck AJ, Chao DH, Dorey F, Said JW, et al. Renal cell carcinoma with tumor thrombus extension: biology, role of nephrectomy, and response to immunotherapy. J Urol. 2003;169:909–16.
Izumi R, Shimizu K, Ii T, Yagi M, Matsui O, Nomomura A, Miyazaki I. Prognostic factors of hepatocellular carcinoma in patients undergoing hepatic resection. Gastroenterology. 1994;106:720–7.
Murray D, Hreno A, Dutton J, Hampson LG. Prognosis in colon cancer: a pathologic reassessment. Arch Surg. 1975;110:908–13.
Newland RC, Chapuis PH, Pheils MT, MacPherson JG. The relationship of survival to staging and grading of colorectal carcinoma: a prospective study of 503 cases. Cancer. 1981;47:1424–9.
Iida A. The relationship between pathological types and survival of colorectal carcinoma. Nippon Daichokoumonbyou Gakkai Zassi. 1990;43:533–41 ((in Japanese with English abstract)).
Rognum TO. CEA, tumour differentiation, and DNA ploidy pattern. Scand J Gastroenterol Suppl. 1988;149:166–78.
Hamada Y, Yamamura M, Hioki K, Yamamoto M, Nagura H, Watanabe K. Immunohistochemical study of carcinoembryonic antigen in patients with colorectal cancer. Correlation with plasma carcinoembryonic antigen levels. Cancer. 1985;55:136–41.
Kaida H, Ishibashi M, Kurata S, Uchida M, Hayabuchi N. Tumor thrombus in the inferior vena cava from colon cancer detected by 18F-FDG-PET. Ann Nucl Med. 2007;21:185–8.
Fujii M, Noshima S, Kobayashi T, Enoki T, Zempo N, Esato K. Double colorectal cancer with a tumor thrombosis in the inferior mesenteric vein (IMV)-report of a case. J Jpn Surg Assoc. 2000;61:2701–4 ((in Japanese)).
Kawashima K, Endo W, Itakura Y, Wada Y, Yokota K. A case of cancer of the ascending colon with tumor embolism of the superior mesenteric vein. J Jpn Surg Assoc. 2007;68:933–7 ((in Japanese)).
Kanzaki A, Hirota M, Okamoto K, Yamashita K, Sato T, Ichihara T. A case of the transverse colon cancer combined with tumor thrombus in superior mesenteric vein and colon perforation. Jpn J Gastroenterol Surg. 2009;42:1436–41 ((in Japanese)).
Yamagami H, Masuko H, Kondo Y, Okada K, Ishizu H, Honma S. A case of ascending colon cancer with a tumor thrombosis in superior mesenteric vein: usefulness of CT portography for diagnosis of intraluminal tumor thrombi in the portal vein system. J Jpn Soc Coloproctol. 2009;62:38–43 ((in Japanese)).
Kamata A, Hagiwara H, Kano T, Abe Y, Natori J, Uchiyama K. A case report of radical operation for ascending colon cancer with superior mesenteric vein tumor embolus. J Jpn Surg Assoc. 2015;76:2488–92 ((in Japanese)).
Tajima Y, Goto H, Akamatsu D, Miyagi S, Kamei T. A case of massive bowel infarction caused by acute superior mesenteric vein occlusion secondary to a tumor thrombus from colon cancer. Jpn J Vasc Surg. 2016;25:57–61 ((in Japanese)).
Akabane S, Mukai S, Egi H, Adachi T, Kochi M, Sato K, et al. A case of ascending colon cancer accompanied with tumor thrombosis in the superior mesenteric vein treated with right hemicolectomy and greater saphenous vein grafting. Int J Surg Case Rep. 2018;51:358–63.
Kim SE, Lee SJ, Cha JY, Yi SW, Kim TS, Cho IL, et al. Ascending colon cancer with pathologically confirmed tumor thrombosis of superior mesenteric vein: a case report. Clin Endosc. 2019;52:506–9.
Greally M, Pilson K, Linehan A, O’Keane C, Shields CJ, Conneely JB, et al. Indolent nodal relapse of colon carcinoma with associated tumor thrombus invading the superior mesenteric vein. J Gastrointest Cancer. 2019;50:660–4.
Fujii Y, Kobayashi K, Kimura S, Takiguchi US, S, . Ascending colon cancer accompanied by tumor thrombosis in the superior mesenteric vein: a case report. Int J Surg Case Rep. 2020;73:239–43.
Arnould D, Lueza B, Douillard JY, Peeters M, Lenz HJ, Venook A, et al. Prognostic and predictive value of primary tumour side in patients with RAS wild-type metastatic colorectal cancer treated with chemotherapy and EGFR directed antibodies in six randomized trials. Ann Oncol. 2017;28:1713–29.
Salt LB, Clark S, Diaz-Rubio E, Scheithauer W, Figer A, Wong R, et al. Bevacizumab in combination with oxaliplatin-based chemotherapy as first-line therapy in metastatic colorectal cancer: a randomized phase III study. J Clin Oncol. 2008;26:2013–9.
Van Cutsem E, Köhne CH, Hitre E, Zaluski J, Chang Chien CR, Makhson A, et al. Cetuximab and chemotherapy as initial treatment for metastatic colorectal cancer. N Engl J Med. 2009;360:1408–17.
Douillard JY, Siena S, Cassidy J, Tabernero J, Burkes R, Barugel M, et al. Final results from PRIME: randomized phase III study of panitumumab with FOLFOX4 for first-line treatment of metastatic colorectal cancer. Ann Oncol. 2014;25:1346–55.
Salvatore L, Cremolini C, Loupakis F, Masi G, Shirrippa M, Marmorino F, et al. Folfoxiri plus bevacizumab (Bv) or plus anti-Egfr antibodies in Ras and Braf wild-type (Wt) metastatic colorectal cancer (Mcrc) patients (Pts): analysis of tumor response. Ann Oncol. 2014;25(Suppl 4):174.