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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Main Authors: Ahmed M. Habib, Xenophon Kassianides, Samuel Chan, Mahmoud Loubani, Syed Qadri
Format: Article
Language:English
Published: Wiley 2018-01-01
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.
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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