Extended surgery with en bloc resection of the right common iliac vessels for lymph node metastasis of mucinous colon carcinoma: Report of a case

We report herein the case of a 63-year-old woman who underwent surgery for recurrent mucinous carcinoma of the cecum. Recurrent metastatic lymph nodes had invaded the right common iliac vessels and right ureter, but she had n o distant metastases and no peritoneal dissemination. Extended surgery with en bloc resection of the right iliac vessels and right ureter, and femorof emoral bypass were performed. Postoperatively, several complications develo ped which were successfully treated by further operations. By 1 year after surgery, she had no recurrent tumors on radiological examination, suggestin g that our aggressive surgery with resection of the invaded regional vessel s had effectively removed the recurrent tumors. This procedure may therefor e significantly prolong the survival time and improve the quality of life o f such patients.