A 69-year-old male with past medical history significant for infiltrating mucin secreting colonic adenocarcinoma arising in a villous adenoma diagnosed in 2001. The pathologic stage was T3, N1 and Duke's stage C. Peritoneal implants were identified and excised completely at the time of diagnosis. After the right hemicolectomy, the patient received 5-flourouracil based chemotherapy. In 2005, the patient developed a pelvic recurrence, positive for a metastatic mucinous moderately differentiated adenocarcinoma consistent with colonic primary.
This was treated with chemotherapy and radiation therapy. The patient tolerated this well and was disease free until 2007. At the time, the patient was found to have a metastasis to the liver, bladder and rectum, again positive for the colonic primary. This was treated with cryoablation of the liver metastasis as well as resection of the liver and en…
