Late pulmonary metastasis of a rectal cancer resected 20 years after low anterior resection

Kenji Takahashi, Genichiro Ishii, Mitsuyo Nishimura, Junji Yoshida, Tomoyuki Hishida, Youichi Naitoh, Shigehiro Kitamura, Kanji Nagai

Research output: Contribution to journalArticle


A 54-year-old man underwent a low anterior resection for rectal cancer in July 1986. A right pulmonary tumor was pointed out in March 2006 by screening a chest X-ray. Because pulmonary metastasis from colorectal cancer was suspected by transbronchial biopsy, a colonofiberscopy was performed. However, no primary tumor was found. Furthermore, positron emission tomography (PET) revealed no other positive lesion. This tumor was resected in April 2006, and the pathological findings, including immunohistochemical findings, were similar to those of the previously resected rectal cancer. This tumor was therefore diagnosed to be pulmonary metastasis from rectal cancer resected 20 years ago based on a comparison of primary and pulmonary tumors using immunohistochemical examination. This shows that pulmonary metastasis from colorectal cancer is possible even 20 years after the initial operation. (Ann Thorac Cardiovasc Surg 2008; 14: 386-389)

Original languageEnglish
Pages (from-to)386-389
Number of pages4
JournalAnnals of Thoracic and Cardiovascular Surgery
Issue number6
Publication statusPublished - 2008 Dec 1
Externally publishedYes



  • Disease-free interval
  • Metastasectomy
  • Pulmonary metastasis
  • Rectal cancer

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Gastroenterology

Cite this

Takahashi, K., Ishii, G., Nishimura, M., Yoshida, J., Hishida, T., Naitoh, Y., Kitamura, S., & Nagai, K. (2008). Late pulmonary metastasis of a rectal cancer resected 20 years after low anterior resection. Annals of Thoracic and Cardiovascular Surgery, 14(6), 386-389.