Volume 33, Number 9, 709-711, DOI: 10.1007/s00595-002-2553-4

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Small Solitary Pulmonary Metastasis Detected Before Primary Sigmoid Colon Cancer: Report of a Case

Aki Ishikawa, Shinichiro Motohashi, Kiyoshi Shibuya, Masayuki Baba, Tetsuya Toyosaki, Hidemi Ohwada, Norio Saito, Kiminori Suzuki and Takehiko Fujisawa

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Abstract

We report the case of a 60-year-old woman referred to us after chest X-ray and mobile computed tomography screening detected an 8-mm nodule in right S2. Transbronchial aspiration cytology suggested a pulmonary metastasis from colorectal cancer. Therefore, we performed a colonoscopy and found a polypoid lesion, 2thinspcm in diameter, in the sigmoid colon. An analysis of a biopsy specimen from this polypoid lesion confirmed adenocarcinoma. Surgical resection of the primary sigmoid colon cancer was subsequently performed, followed 4 weeks later by a right S2 segmentectomy to remove the lung metastasis. The patient is currently well without any clinical signs of recurrence, 44 months after her operation.

Key words  Pulmonary metastasis - Colorectal cancer - Mass survey - Surgical resection

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