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CC BY-NC-ND 4.0 · Journal of Coloproctology 2013; 33(03): 157-160
DOI: 10.1016/j.jcol.2013.04.006
Case report

Unusual finding after resection of rectal adenocarcinoma: Report of two cases

Achado incomum após ressecção de adenocarcinoma do reto: relato de dois casos
Natalia Pranzetti Vieira
a   Departament of Coloproctology of Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil
,
Maria de Lourdes Setsuko Ayrizono
b   Departament of Surgery, Service of Coloproctology, Faculdade de Ciências Médicas, UNICAMP, Campinas, SP, Brazil
c   Brazilian Society of Coloproctology (SBCP), Rio de Janeiro, RJ, Brazil
,
Débora Helena Gonçalves Rossi
b   Departament of Surgery, Service of Coloproctology, Faculdade de Ciências Médicas, UNICAMP, Campinas, SP, Brazil
c   Brazilian Society of Coloproctology (SBCP), Rio de Janeiro, RJ, Brazil
,
Priscilla de Sene Portel Oliveira
b   Departament of Surgery, Service of Coloproctology, Faculdade de Ciências Médicas, UNICAMP, Campinas, SP, Brazil
c   Brazilian Society of Coloproctology (SBCP), Rio de Janeiro, RJ, Brazil
d   Hospital Estadual de Sumaré, Sumaré, SP, Brazil
,
Raquel Franco Leal
b   Departament of Surgery, Service of Coloproctology, Faculdade de Ciências Médicas, UNICAMP, Campinas, SP, Brazil
,
João José Fagundes
b   Departament of Surgery, Service of Coloproctology, Faculdade de Ciências Médicas, UNICAMP, Campinas, SP, Brazil
c   Brazilian Society of Coloproctology (SBCP), Rio de Janeiro, RJ, Brazil
,
Cláudio Saddy Rodrigues Coy
b   Departament of Surgery, Service of Coloproctology, Faculdade de Ciências Médicas, UNICAMP, Campinas, SP, Brazil
c   Brazilian Society of Coloproctology (SBCP), Rio de Janeiro, RJ, Brazil
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Abstract

Pelvic recurrence after resection of rectal adenocarcinoma is a feared complication and is associated with a worse prognosis and low resectability rates. The differential diagnosis is difficult, as biopsy is seldom performed preoperatively. We report two cases of desmoid pelvic tumor after resection of rectal adenocarcinoma. Therapeutic options and literature review are described.

Resumo

O aparecimento de tumor pélvico após ressecção de adenocarcinoma de reto é complicação temida e está associado à pior prognóstico e baixos índices de ressecabilidade. O diagnóstico diferencial é difícil, pois o diagnóstico histológico usualmente não é realizado no pré-operatório. São relatados dois casos em que houve o aparecimento de tumor pélvico após a ressecção de adenocarcinoma de reto, com diagnóstico histológico de tumor desmóide. As condutas adotadas e revisão da literatura são descritas.

Keywords

Desmoid tumor - Rectal adenocarcinoma - Pelvic recurrence

Palavras-chave

Tumor desmóide - Adenocarcinoma de reto - Recidiva pélvica


Publication History

Received: 13 March 2013

Accepted: 24 April 2013

Article published online:
17 February 2021

© 2013. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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