Year 2025 / Volume 117 / Number 2
Letter
Intestinal metastases of colorectal cancer

121-122

DOI: 10.17235/reed.2024.10089/2023

Natalia Zuberoa Rosado Dawid, Raquel Díaz Martínez, Asunción Ramos Meca,

Abstract
We present the case of an 82-year-old woman with a history of well-differentiated adenocarcinoma of the cecum, stage pT3N1M0, treated ten years before with right hemicolectomy and adjuvant chemotherapy (Capecitabine and Bevacizumab). She developed painless obstructive jaundice of sudden onset. Computed tomography (CT) showed an ampullary nodule with secondary dilatation of the biliary and the pancreatic ducts. Subsequent duodenoscopy and endoscopic ultrasound identified the presence of multiple 3-10 mm tumor-like nodules from the first to the second duodenal knee, the largest one infiltrating the papillary area and preventing its cannulation. Biopsy revealed a moderately differentiated adenocarcinoma with cribriform, nidiform and acinar architectural patterns and positive immunohistochemistry for CK20 and CDX2, compatible with colon origin. The patient was treated with five cycles of chemotherapy (FOLFOX) with the disappearance of the duodenal nodules, although during follow-up she developed disease progression with a left adnexal metastasis with identical histological and immunohistochemical pattern.
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Rosado Dawid N, Díaz Martínez R, Ramos Meca A. Intestinal metastases of colorectal cancer. 10089/2023


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Publication history

Received: 13/11/2023

Accepted: 28/11/2023

Online First: 23/01/2024

Published: 05/02/2025

Article Online First time: 71 days

Article editing time: 450 days


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