Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node Metastasis
Colorectal carcinoma is the second biggest cancer responsible for mortality. Lung metastasis is the commonest, following the liver. It is not uncommon to perform pulmonary metastasectomy and identify mediastinal metastasis. Previous studies have identified incidental lymph node involvement following...
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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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Series: | Case Reports in Surgery |
Online Access: | http://dx.doi.org/10.1155/2018/5474919 |
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author | Ahmed M. Habib Xenophon Kassianides Samuel Chan Mahmoud Loubani Syed Qadri |
author_facet | Ahmed M. Habib Xenophon Kassianides Samuel Chan Mahmoud Loubani Syed Qadri |
author_sort | Ahmed M. Habib |
collection | DOAJ |
description | Colorectal carcinoma is the second biggest cancer responsible for mortality. Lung metastasis is the commonest, following the liver. It is not uncommon to perform pulmonary metastasectomy and identify mediastinal metastasis. Previous studies have identified incidental lymph node involvement following routine mediastinal lymph node clearance in 20–50% of cases. However, solitary intrathoracic lymph node metastasis is exceedingly rare. Even when present, it is usually metachronous. In our case, we present an exceedingly rare case whereby the intrathoracic lymph node metastasis is solitary, not accompanying pulmonary disease and with no liver metastasis. We also review the evidence for mediastinal lymphadenectomy in the literature. |
format | Article |
id | doaj-art-5a1a0fe60f914f8d8dce40ea438524ac |
institution | Kabale University |
issn | 2090-6900 2090-6919 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Surgery |
spelling | doaj-art-5a1a0fe60f914f8d8dce40ea438524ac2025-02-03T05:44:54ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/54749195474919Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node MetastasisAhmed M. Habib0Xenophon Kassianides1Samuel Chan2Mahmoud Loubani3Syed Qadri4Cardiothoracic Surgery Department, Castle Hill Hospital, Cottingham, UKCardiothoracic Surgery Department, Castle Hill Hospital, Cottingham, UKRespiratory Department, York District Hospital, York, UKCardiothoracic Surgery Department, Castle Hill Hospital, Cottingham, UKCardiothoracic Surgery Department, Castle Hill Hospital, Cottingham, UKColorectal carcinoma is the second biggest cancer responsible for mortality. Lung metastasis is the commonest, following the liver. It is not uncommon to perform pulmonary metastasectomy and identify mediastinal metastasis. Previous studies have identified incidental lymph node involvement following routine mediastinal lymph node clearance in 20–50% of cases. However, solitary intrathoracic lymph node metastasis is exceedingly rare. Even when present, it is usually metachronous. In our case, we present an exceedingly rare case whereby the intrathoracic lymph node metastasis is solitary, not accompanying pulmonary disease and with no liver metastasis. We also review the evidence for mediastinal lymphadenectomy in the literature.http://dx.doi.org/10.1155/2018/5474919 |
spellingShingle | Ahmed M. Habib Xenophon Kassianides Samuel Chan Mahmoud Loubani Syed Qadri Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node Metastasis Case Reports in Surgery |
title | Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node Metastasis |
title_full | Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node Metastasis |
title_fullStr | Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node Metastasis |
title_full_unstemmed | Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node Metastasis |
title_short | Colorectal Cancer Presenting as Single Pulmonary Hilar Lymph Node Metastasis |
title_sort | colorectal cancer presenting as single pulmonary hilar lymph node metastasis |
url | http://dx.doi.org/10.1155/2018/5474919 |
work_keys_str_mv | AT ahmedmhabib colorectalcancerpresentingassinglepulmonaryhilarlymphnodemetastasis AT xenophonkassianides colorectalcancerpresentingassinglepulmonaryhilarlymphnodemetastasis AT samuelchan colorectalcancerpresentingassinglepulmonaryhilarlymphnodemetastasis AT mahmoudloubani colorectalcancerpresentingassinglepulmonaryhilarlymphnodemetastasis AT syedqadri colorectalcancerpresentingassinglepulmonaryhilarlymphnodemetastasis |