A. Lopes et al., INTERNAL HEMIPELVECTOMY IN THE TREATMENT OF RECURRENT CARCINOMA OF THE COLON - REPORT OF A CASE, Diseases of the colon & rectum, 40(12), 1997, pp. 1504-1507
PURPOSE: Although extended surgery has been established as an effectiv
e method for the treatment of advanced carcinoma of the colon, there a
re no reports in the literature of en bloc resection of the tumor toge
ther with the iliac bone. We report herein a 46-year-old woman with a
second local recurrence after right colectomy, with the main objective
of showing the possibility of indicating this type of surgery in sele
cted cases. METHODS: In view of the lack of therapeutic options for th
e case and the absence of metastases, extended curative surgery for re
current carcinoma of the colon was performed, with en bloc resection o
f the right iliac bone and of the crural nerve (Type I internal hemipe
lvectomy). RESULTS: After a 27-month followup, the patient is asymptom
atic, with no signs of local recurrence or metastases. CONCLUSIONS: In
selected cases, recurrent carcinoma of the colon can be treated by ex
tended and aggressive surgery, including bone resection, to obtain an
appropriate safety margins.