Clinical Pathology (Dec 2022)

Infarct Like Necrosis of Colorectal Liver Metastasis Without Chemotherapy: A Rare Phenomenon

  • Duminda Subasinghe,
  • Harshima Wijesinghe,
  • Priyanka Abeygunasekera,
  • Umagowry Sarawanamuththu,
  • Vihara Dassanayake,
  • Sivasuriya Sivaganesh

DOI
https://doi.org/10.1177/2632010X221145537
Journal volume & issue
Vol. 15

Abstract

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Usual type necrosis (UN) and infarct like necrosis (ILN) occur in CRLMs. ILN is a rare form of necrosis in colorectal liver metastases which is usually seen following chemotherapy. De novo occurrence of ILN is a very rare phenomenon. ILN in CRLM without adjuvant chemotherapy following colorectal resection was not described previously. We describe the presence of complete ILN in a solitary metachronous liver metastasis from right colonic adenocarcinoma without prior chemotherapy.