Kaohsiung Journal of Medical Sciences
Volume 26, Issue 4 , Pages 211-216, April 2010

Relapsed Colon Cancer Patient Presenting With Hematuria 13 Years After Primary Tumor Resection: A Case Report

  • Yu-Ho Huang

      Affiliations

    • Department of Anatomy, Faculty of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Hsiang-Lin Tsai

      Affiliations

    • Program of Bachelor of Health Beauty, School of Medicine and Health, Fooyin University, Kaohsiung, Taiwan
    • Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Chee-Yin Chai

      Affiliations

    • Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Pathology, Faculty of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Jaw-Yuan Wang

      Affiliations

    • Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Surgery, Faculty of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Department of Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Department of Graduate Institute of Medical Genetics, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Professor Jaw-Yuan Wang, Department of Surgery, Kaohsiung Medical University and Hospital, 100 Tzyou 1st Road, Kaohsiung 807, Taiwan

Received 13 March 2009; accepted 19 August 2009.

We report a rare case of postoperative colon cancer recurrence who presented with hematuria 13 years after resection of the primary colonic cancer. The patient was 72 years of age and underwent surgical resection of sigmoid colon cancer at another regional hospital in 1994. Since June 2007, this patient has complained of hematuria and bloody stool. On physical examination, tenderness and a hard, indurated mass was palpable in the lower mid-abdomen. Abdominal computed tomography showed a metastatic tumor at the lower midline peritoneum with invasion of the adjacent abdominal wall. Her serum carcinoembryonic antigen level was elevated to 32 ng/dL. Histopathology revealed metastatic colonic adenocarcinoma in the jejunum and abdominal wall.

Key Words:  colon cancer , hematuria , recurrent interval

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PII: S1607-551X(10)70031-0

doi:10.1016/S1607-551X(10)70031-0

Kaohsiung Journal of Medical Sciences
Volume 26, Issue 4 , Pages 211-216, April 2010

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