ArticleSurgical case reports2025
Metachronous Isolated Inguinal Lymph Node Metastasis at a Previous Hernia Repair Site following Potentially Curative Surgery for Transverse Colon Cancer: A Case Report.
Article in Surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInguinal lymph node metastasis from colon cancer is extremely rare. Therapeutic strategies have not been established regarding preventive measures for hernia recurrence following mesh removal when the mesh used in inguinal hernia repair is infiltrated by a tumor. Similarly, no treatment strategies have been developed regarding the necessity of prophylactic orchiectomy when a tumor infiltrates the spermatic cord and requires resection. CASE PRESENTATION: We report a rare case of metachronous isolated inguinal lymph node metastasis following potentially curative surgery for transverse colon cancer. An 83-year-old male underwent laparoscopic colectomy with D3 lymphadenectomy for transverse colon cancer. At 1 year postoperatively, he presented with a painful mass in the left inguinal region. Imaging suggested transverse colon cancer recurrence in the inguinal lymph node. Diagnostic and therapeutic inguinal lymphadenectomy was performed. The tumor had infiltrated the previously placed mesh for a prior inguinal hernia repair and adhered to the spermatic cord. Therefore, en bloc resection of the mesh and spermatic cord was performed. No additional reinforcement was necessary because the structural strength of the inguinal region was preserved following mesh removal. Furthermore, orchiectomy was not performed owing to testicular atrophy due to advanced age. Histopathological examination confirmed inguinal lymph node metastasis of transverse colon cancer. At 4 months postoperatively, the patient remained free from colorectal cancer recurrence, testicular necrosis, or inguinal hernia recurrence.
conclusionsThis case represents an extremely rare instance of metastasis occurring at the site of a prior inguinal hernia repair with mesh implantation. Considering the potential need for spermatic cord resection and mesh removal, appropriate surgical strategies for such scenarios should be included in preoperative planning.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.