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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2022; 10(33): 12404-12409
Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12404
Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12404
T1 rectal mucinous adenocarcinoma with bilateral enlarged lateral lymph nodes and unilateral metastasis: A case report
Xian-Wei Liu, Xiao-Yu Wu, Wen-Bing Yu, Ren-Fang Zhu, Department of General Surgery, Jiujiang No. 1 People’s Hospital, Jiujiang 332000, Jiangxi Province, China
Bing Zhou, Department of Pathology, Jiujiang No. 1 People’s Hospital, Jiujiang 332000, Jiangxi Province, China
Author contributions: Liu XW, Zhou B and Wu XY participated in data collection and manuscript writing; Liu XW, Yu WB and Zhu RF completed the surgery; and all authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xian-Wei Liu, MD, PhD, Doctor, Department of General Surgery, Jiujiang No. 1 People’s Hospital, No. 48 Taling South Road, Jiujiang 332000, Jiangxi Province, China. jacky3251.love@163.com
Received: August 31, 2022
Peer-review started: August 31, 2022
First decision: September 26, 2022
Revised: September 30, 2022
Accepted: October 24, 2022
Article in press: October 24, 2022
Published online: November 26, 2022
Peer-review started: August 31, 2022
First decision: September 26, 2022
Revised: September 30, 2022
Accepted: October 24, 2022
Article in press: October 24, 2022
Published online: November 26, 2022
Core Tip
Core Tip: T1 rectal cancer is rarely accompanied by lymph node metastases, and even fewer lateral lymph node (LLN) metastases (LLNM). To our knowledge, the published case reports to date have mainly reported cases of heterochronous LLNM, only two cases with simultaneous metastases, and only one case of missed LLNM after endoscopic submucosal dissection (ESD). For patients with no residual tumor after ESD, in whom LLNM is suspected, it is also inconclusive whether only LLN dissection could be performed.