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Chirurgia 2002 April;15(2):65-74

language: English, Italian

Incidental finding of a voluminous liver metastasis, the only sign of asymptomatic advanced sigmoid adenocarcinoma, radically treated with left hemicolectomy and hepatic bisegmentectomy

Russo A., Veltroni A., Buccianelli E.


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The authors describe an unusual asymptomatic sigmoid adenocarcinoma, (Duke's D), incidentally revealed on ultrasound diagnostic imaging of a wide hepatic metastasis involving segment VII, and a secondary tumor at segment VI. The absence of pelvic spread of the primary tumor and of distant metastases and the negativity of residual hepatic tissue permitted left hemicolectomy with hepatic bisegmentectomy with radical intent. Today's surgical procedures have improved 5-year survival rates up to 40% for these advanced colorectal cancers.

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