Abdominal wall recurrence after colorectal resection for cancer

Case contributed by Dr Bruno Di Muzio

Presentation

New oncologic staging motivated by elevation of CEA.

Patient Data

Age: 70 years
Gender: Male

There are multiple enhancing abdominal wall nodules located at the laparotomy scar and stoma. There are also enlarged right inguinal lymph nodes. 

Diagram showing abdominal wall nodules

Diagram

Red arrows: enhancing abdominal wall nodules located at the laparotomy scar and stoma. 

Case Discussion

Colorectal cancer recurrences in the abdominal wall have been reported to occur in approximately 60% of patients with advanced disease. It is important to look for intra-abdominal recurrence in these cases. 

Recent studies show a similar incidence of these metastases after open or laparoscopic surgery (recurrence rates are 0.60% and 0.85%, respectively). 

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