Hemipelvectomia externa ampliada para tratar adenocarcinoma de sigmóide

Revista do Colégio Brasileiro de Cirurgiões

Rodrigo Ribas Dias Dos Reis²  Luciane Schiavinatto¹  Mário Luis Telles²  Adriana Eliza Brasil Moreira²  João Paulo Aguiar Jordão Mainardi¹ 

[1] ,Santa Casa de Piracicaba SP ,BR

关键词: Colorectal neoplasms;    Hemipelvectomy;    Adenocarcinoma;    Colon;    sigmoid;   

DOI  :  10.1590/S0100-69912010000500013

来源: SciELO

【 摘 要 】

Surgery is the most effective way of treating a locally advanced colorectal carcinoma and an extended en bloc resection is necessary to achieve the best overall survival rate. In this rare case, a multi-visceral resection was performed along with the entire lower left limb and left iliac bone for a sigmoid carcinoma. The T4N0M0 (B3) tumor involved the left iliac vessels, left pelvic wall, small bowel and both rectus muscles, besides presenting with a skin fistula. A Hartmann colostomy was also performed. Chemotheraphy was interrupted because of toxicity. The patient is free of disease after 38 months. There are very few cases that describe an extended hemipelvectomy as part of a colorectal carcinoma treatment.

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