+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Jaundice secondary to isolated porta hepatis metastasis in colorectal cancer: case report and review of the literature

, : Jaundice secondary to isolated porta hepatis metastasis in colorectal cancer: case report and review of the literature. Southern Medical Journal 97(3): 287-290

Colorectal cancer occurs mainly after the age of 50. The liver is the most frequent site of metastases, although isolated metastases to the porta hepatis are rarely reported in the literature. From 1924 to 1993, only 16 cases of periportal lymph nodes metastases were reported. We report a case of jaundice secondary to porta hepatis metastases from primary colorectal cancer. The appearance of symptoms was concurrent with the elevation of carcinoembryonic antigen in our case. This emphasizes the importance of polymerase chain reaction to detect the small amount of carcinoembryonic antigen transcript in blood or in peritoneal fluid before the appearance of symptoms. Polymerase chain reaction allows the prediction of high risk of recurrence and the presence of micrometastases. More trials are needed to assess the outcome after treatment by adjuvant chemotherapy for micrometastases.


PMID: 15043338

DOI: 10.1097/01.SMJ.0000076707.95919.23

Other references

Frampton, S.B.; Guastello, S., 2011: Patient-centred care: more than the sum of its parts--Planetree's patient-centred hospital designation programme. When a nurse at the Celilo Cancer Center at the Mid-Columbia Medical Center in The Dalles, Oregon, found out that his patient was scheduled to receive chemotherapy on her wedding anniversary, he asked the woman and her husband what song they'...

Kito, K.; Okamura, M.; Fujimoto, Y.; Tokieda, J., 1960: Observations on the electrocardiographic abnormalities during induced epileptiform seizures in a curarized cat. Cardiac arrhythmias of various kinds, such as multiple and frequent ventricular premature systoles, bigeminal rhythm caused by ventricular premature beats, isofrequent auriculoventricular interference dissociation and ventricular automatism, are e...

Yamura, Takuzo, 1959: Hormone treatment of skin diseases. Japanese Jour Dermatol 69(7/12): 149-150

Laube, J.; Weise, G., 1972: Ovarian cystoma in esophageal varices. Zentralblatt für Gynakologie 94(21): 699-701

Delmas-Marsalet, Y., 1966: How to avoid the immunological complications of blood transfusion. Lille Medical 11: 1111-1116

Adams, D.O., 1980: Effector mechanisms of cytolytically activated macrophages 1. secretion of neutral proteases and effect of protease inhibitors. Peritoneal macrophages from C56BL/6J mice, when activated by BCG, lysed syngeneic MCA-I sarcoma targets but not syngeneic embryo fibroblasts. Inflammatory macrophages elicited by concanavalin (Con)A did not appreciably lyse either target. The acti...

Tubiana, M.; Sung, S.S., 1952: Functional investigation of the thyroid gland with radioactive iodine. La Semaine des Hopitaux 27(82): 3276-3287

Kahan, B.C.; Morris, T.P., 2013: Assessing potential sources of clustering in individually randomised trials. Recent reviews have shown that while clustering is extremely common in individually randomised trials (for example, clustering within centre, therapist, or surgeon), it is rarely accounted for in the trial analysis. Our aim is to develop a general...

Schuppe, Hürgen.; Newland, P.L., 2004: Nitric oxide modulates presynaptic afferent depolarization of mechanosensory neurons. In crayfish, movement of the tailfan causes stimulation of exteroceptive sensory hairs located on its surface. Movement is monitored by a proprioceptor, the protopodite-endopodite chordotonal organ within the tailfan. Proprioceptive afferents prov...

Patience Richard L., 2003: Where did all the coal gas go?. Isotopic models indicate that reservoired gases in mid-Norway were generated predominantly from marine source rocks, despite the presence of abundant mature coal and terrestrial carbonaceous shales in the Are Formation. There are at least three di...