alexa Metastasis of Sigmoid Colon Cancer to the Breast and Uterus: A Case-Study | OMICS International | Abstract
ISSN: 2329-9088

Tropical Medicine & Surgery
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Case Report

Metastasis of Sigmoid Colon Cancer to the Breast and Uterus: A Case-Study

Andee Dzulkarnaen Zakaria1 , Amer Hayat Khan2*, Muhammad Abdul Hadi3 and Baharudin Ibrahim2

1Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia

2Department of Clinical Pharmacy, School of Pharmaceutical Sciences Universiti Sains Malaysia, 11800 Penang, Malaysia

3School of Healthcare, University of Leeds, LS2 9UT Leeds, United Kingdom

*Corresponding Author:
Amer Hayat Khan
Department of Clinical Pharmacy
School of Pharmaceutical Sciences
Universiti Sains Malaysia, 11800 Penang, Malaysia
Tel: 006-014-9227580
Fax: 00604 657 0017
E-mail: [email protected]

Received Date: January 08, 2013; Accepted Date: April 09, 2013; Published Date: April 13, 2013

Citation: Zakaria AD, Khan AH, Hadi MA, Ibrahim B (2013) Metastasis of Sigmoid Colon Cancer to the Breast and Uterus: A Case-Study. Trop Med Surg 1:118. doi: 10.4172/2329-9088.1000118

Copyright: © 2013 Zakaria AD, 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.

Abstract

 Introduction: Colon cancer is the second most common cancer after breast and the most common cancer among males in Peninsular Malaysia. Metastasis of colon cancer to the uterus and breast rarely occur, but still the incidence could not be ignored as it could possibly happen to anyone with the disease. Clinical Presentation and Intervention: A 32-years old Malay woman complaining of pain in the right hypochondria region radiating to the back and right shoulder. The pain was constant, with moderate intensity and relieved temporarily by analgesics (Paracetamol). She also noticed a lump in her left breast following Breast Self Examination (BSE). Patient was admitted to Hospital Universitiy Sains Malaysia (HUSM) with no signs of shortness of breath, chest pain or hemoptysis. The patient had history of sigmoid colon cancer (Duke’s B) and had undergone sigmoid colectomy two years ago and completed 25 cycles of local radiotherapy and concurrent 12 cycles of systemic chemotherapy. The ultrasound of pelvic region revealed metastasis to pelvic organ. Conclusion: Surgery is the most common treatment for colorectal cancer and may be curative for localized cancers. Radiotherapy and chemotherapy be used as an adjunct treatment after surgery to increase disease free survival and overall survival but recurrence may still occur.

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