Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Report Volume 4 Issue 11

Synchronous Multiple Colon Neoplasm. Case Report

Jorge Chehab Andrade1, Héctor Montes Lainez2*, Vanessa Cruz3 and Pamela Vega Chanalata4

1Oncological Surgery Digestive Surgery Service, National Oncology Institute, Dr. Juan Tanca Marengo, Guayaquil, Ecuador
2General Surgery, Digestive Surgery Service, National Oncology Institute, Dr. Juan Tanca Marengo. Guayaquil, Ecuador
3Resident General Surgery, Holy Spirit University of Specialties, Samborondon, Ecuador
4Physician, Master of Research in Health Sciences, University of La Rioja, Guayaquil, Ecuador

*Corresponding Author: Héctor Montes Lainez, General Surgery, Digestive Surgery Service, National Oncology Institute, Dr. Juan Tanca Marengo. Guayaquil, Ecuador.

Received: August 26, 2022; Published: October 19, 2022


Multifocal colorectal cancer is diagnosed in approximately 5% of all colorectal cancer patients, whether synchronous or metachronous; they have several risk factors including genetic predisposition, intraluminal spread due to tumor seeding, and chronic inflammation. We present the case of a 72-year-old woman who came to the clinic with a clinical picture of 2-year evolution characterized by constipation and sporadic rectal bleeding. A biopsy was performed through a colonoscopy, reporting poorly differentiated adenocarcinoma infiltrating a right colon tumor. and low-grade dysplasia in sigmoid colon polyps; reason for which a right hemicolectomy with sigmoidectomy and colorectal anastomosis was surgically intervened, the definitive pathological result reported adenocarcinoma in 3 different anatomical locations of the colon. This case illustrates the infrequent presentation of an adenocarcinoma present in different locations of the colon. There is still little knowledge of this form of presentation, but its prognosis is not encouraging.

Keywords: Oncology; Oncology Surgery; Colorectal Cancer


  1. Soon-Chan Kim., et al. “Multifocal Organoid Capturing of Colon Cancer Reveals Pervasive Intratumoral Heterogenous Drug Responses”. Advance Science 360 (2021): 1-18.
  2. Nou Y Nancy., et al. “The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Rectal Cancer”. Diseases of the Colon and Rectum9 (2020): 1191-1222.
  3. Valero Arkaitz Perfecto., et al. “Metástasis en el sitio del puerto laparoscópico tras cirugía del cáncer colorrectal”. Revista Hispanoamericana de Hernia 3 (2020): 149-152.
  4. JA Romoa., et al. “Experiencia en cirugía colorrectal en un hospital de cuarto nivel de complejidad”. Revista de Gastroenterología de México6 (2021).
  5. JasonGeorge MA., et al. “Surgery for colorrectal cancer”. 35 (2017): 145-150
  6. Anna Kosmowska., et al. “Multifocal colorectal cancer in ulcerative colitis patient with sclerosing cholangitis”. Revista Pol Przegl Chir6 (2020): 51-54.
  7. Himeron Limaylla., et al. “Tumor sincrónico: cáncer de colon y liposarcoma2”. Anales de la Facultad de Medicina 74 (2013): 2.
  8. Jhean Gabriel Gonzáles Yovera., et al. “Sincronismo colorrectal: adenocarcinoma de colon ascendente y carcinoma neuroendocrino de células pequeñas de recto”. Revista de Gastroenterología del Perú 4 (2020): 1177.
  9. KEIICHI ARAKAWA., et al. “Prognostic Significance and Clinicopathological”. Anticancer Research 38 (2018): 5889-5895.
  10. Femke Simmer., et al. “Multifocal Colorectal Cancer—Do Intraluminal Metastases Occur?.” Gastroenterology 5 (2021): 1853-1855.
  11. Chávarry-Ysla., et al. “Patricia Del Rocío. Tumor sincrónico de colon y apéndice”. Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo1 (2021).
  12. Łukasz Wohadlo., et al. “Multifocal colorectal adenocarcinoma with a synchronous multifocal carcinoid of the small intestine”. Polski Przegląd Chirurgiczny10 (2011): 562-567.
  13. Byoung Chul Lee., et al. “Clinicopathological features and surgical options for synchronous colorectal cancer”. Wolters Kluwer Health9 (2017): e6224.
  14. David Ladrón-de-Guevara., et al. “Cáncer sincrónico detectado con PET/ CT-Tomografía Computada contrastada en 210 pacientes con cáncer colorrectal recientemente diagnosticado”. Revista médica de Chile (2019): 147.
  15. Ochoa-Benítez., et al. “Caracterización clínico-epidemiológica del carcinoma colorrectal”. La Revista Científica Estudiantil 4 (2021).
  16. Macedo Souzaa., et al. “Synchronous colorectal and renal cancers: Case report and literature review”. Annals of Medicine and Surgery 73 (2022): 103187
  17. Aldecoa Franklin. “Cáncer colorrectal metastásico: supervivencia global con diferentes alternativas de tratamiento”. Acta Médica Peruana (2019): 36.
  18. MONTES H., et al. “Neoplasia primaria sincronica de estómago, colon y recto: reporte de un caso”. Journal of Medical Sciences and Health3 (2021): 201-206.


Citation: Héctor Montes Lainez., et al. “Synchronous Multiple Colon Neoplasm. Case Report". Acta Scientific Women's Health 4.11 (2022): 19-22.


Copyright: © 2022 Héctor Montes Lainez., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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