Hemipelvectomia externa ampliada para tratar adenocarcinoma de sigmóide

• Main Authors: Rodrigo Ribas Dias dos Reis, Luciane Schiavinatto, Mário Luis Telles, Adriana Eliza Brasil Moreira, João Paulo Aguiar Jordão Mainardi
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Cirurgiões
• Series: Revista do Colégio Brasileiro de Cirurgiões
• Subjects: Colorectal neoplasms; Hemipelvectomy; Adenocarcinoma; Colon, sigmoid
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912010000500013&lng=en&tlng=en

Surgery is the most effective way of treating a locally advanced colorectal carcinoma and an extended en bloc resection is necessary to achieve the best overall survival rate. In this rare case, a multi-visceral resection was performed along with the entire lower left limb and left iliac bone for a sigmoid carcinoma. The T4N0M0 (B3) tumor involved the left iliac vessels, left pelvic wall, small bowel and both rectus muscles, besides presenting with a skin fistula. A Hartmann colostomy was also performed. Chemotheraphy was interrupted because of toxicity. The patient is free of disease after 38 months. There are very few cases that describe an extended hemipelvectomy as part of a colorectal carcinoma treatment.