CURATIVE LAPAROSCOPIC RECTAL CANCER RESECTION IN A PATIENT WITH ASYMPTOMATIC METASTATIC DISEASE IN THE SMALL BOWEL MESENTERY FROM PROSTATE CANCER

Prostate cancer can cause metastatic deposits in the abdominal cavity and in the GI tract. Even though the incidence of GI metastasis in prostate cancer is very low it can happen and is often asymptomatic. Patients can develop another primary cancer and presence of such asymptomatic tiny deposits should not deter the curative surgery for potentially curable unrelated primary tumors We present a 75 yr old man with rectal cancer who had curative laparoscopic low  anterior resection for that rectal cancer in the presence of minute atypical metastatic disease in the small bowel mesentery. Conclusion: Asymptomatic metastatic deposits in the small bowel mesentery can happen in prostate cancer. Curative surgery for other unrelated primary cancer is possible and presence of these tiny metastatic deposits should not deter potential curative resection for other resectable cancer.