Open Access

RESIDENT’S CORNER

Inguinal canal recurrence of colorectal adenocarcinoma following cytoreductive surgery and intraperitoneal hyperthermic chemotherapy

Jeffrey J. Tomaszewski, Marc C. Smaldone, Ronald M. Benoit

Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Address correspondence to Dr. Jeffrey J. Tomaszewski, Department of Urology, Kaufman Building, Suite 700, 3471 Fifth Avenue, Pittsburgh, PA,15213 USA

Canadian Journal of Urology 2008, 15(6), 4428-4430.

Abstract

Peritoneal carcinomatosis, the second most common cause of death among patients with colorectal carcinoma, may be managed with cytoreductive surgery and adjuvant intraoperative peritoneal hyperthermic chemotherapy (IHPC). We present the case of a 35-year-old male with locally recurrent colorectal adenocarcinoma in the inguinal canal and testis following intraperitoneal debulking and IPHC. When communicating with the peritoneal cavity, the inguinal canal may act as an anatomic sanctuary site and allow peritoneal carcinomatosis to escape the effects of intraperitoneal chemotherapy.

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