KMID : 0356720140300030141
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Journal of the Korean Society of Coloproctology 2014 Volume.30 No. 3 p.141 ~ p.146
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TisN0M1 Sigmoid Colon Cancer: A Case Report
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Lee Kyung-Ha
Kim Jin-Su Cheon Kwang-Sik Song In-Sang Kim Ji-Yeon Kang Dae-Young
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Abstract
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Distant metastasis of a colon carcinoma in situ has not yet been reported. We experienced a case of a sigmoid colon carcinoma in situ with common hepatic lymph node metastasis. After the first operation, we diagnosed dual intramucosal adenocarcinomas of the sigmoid colon without any regional lymph node metastasis. After the second operation, a metastatic adenocarcinoma was found in the common hepatic lymph nodes. We suggest that metastasis in cases of a colonic carcinoma in situ is rare, but possible. The parallel progression model of tumors can explain this early metastasis.
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KEYWORD
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Colon neoplasms, Adenocarcinoma, Carcinoma in situ, Lymphatic metastasis
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