Colon Cancer and Polyposis Associated with Colonic Tuberculosis.
- Author:
Myoung Sik HAN
1
;
Jee Soo KIM
;
Wan Soo KIM
;
Hyuk Jai JANG
;
Gil Hyun KANG
Author Information
1. Department of Surgery, Kang Nung Hospital, Kangnung, Korea.
- Publication Type:Original Article
- Keywords:
Colonic tuberculosis;
Colon cancer;
Colonic polyp
- MeSH:
Adenocarcinoma;
Adenomatous Polyps;
Colon*;
Colon, Ascending;
Colonic Neoplasms*;
Colonic Polyps;
Diagnosis;
Frozen Sections;
Gastrointestinal Tract;
Humans;
Ileum;
Middle Aged;
Polyps;
Tuberculosis*;
Ulcer
- From:Journal of the Korean Society of Coloproctology
2000;16(4):279-283
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tuberculosis can involve any part of the gastrointestinal tract but 80~90% of patients present the disease in the ileocecal region. The cases of colon cancer coexisting with colonic tuberculosis are relatively rare and ascending colon is the predominant site of the combined disease. A 46-year-old man, without specific past medical or family history, showed multiple colonic polyps and ulcers on colonoscopic examination. After surgery, the surgical specimen disclosed adenocarcinoma in the ascending colon, eleven adenomatous polyps throughout the colon, and multiple tuberculous ulcers in the entire colon. Tuberculosis of terminal ileum was also accompanied. The association of colonic tuberculosis and colon cancer with multiple polyps in this case may have been coincidental. The preoperative colonoscopic examination and pathologic diagnosis by frozen section during operation are necessary for the adequate treatment.
