Abdominal wall recurrence after colorectal resection for cancer
Presentation
New oncologic staging motivated by elevation of CEA.
Patient Data
Age: 69 years
Gender: Male
CT
CT Abdomen and pelvis
Axial C+ portal venous phase
There are multiple enhancing abdominal wall nodules located at the laparotomy scar and stoma. There are also enlarged right inguinal lymph nodes.
Diagram
Diagram showing abdominal wall nodules
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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).
