Resection of the abdominal wall in metastasis from cancer of the bladder, kidney or colon.

Metastases in the abdominal wound occur in about 1% of a material of bladder tumors and less frequently in renal or colon carcinoma. They are sometimes accompanied by metastases elsewhere. Even if the abdominal wall metastases are very large, extensive resection of all layers of the wall may enable the patient to survive for more than 5 years. Free skin grafts are sometimes sufficient to cover the defect. There is no herniation and no impairment of respiration. Metastases in the vicinity of a colostomy or ileostomy may necessitate an operation. Radiation does not appear to provide any relief.