Colon Cancer with Appendiceal Perforation in a 13-year-old Boy.
- Author:
Myung Min CHOI
1
;
Un Gi LEE
;
In Sang JEON
;
Hyun Young KIM
Author Information
1. Department of Surgery Gachon University of Medicine, Gil Hospital Seoul, Korea. khy@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Colorectal cancer;
Childhood
- MeSH:
Abdominal Pain;
Adenocarcinoma, Mucinous;
Adolescent;
Adult;
Appendectomy;
Appendicitis;
Child;
Colon;
Colon, Transverse;
Colonic Neoplasms;
Colorectal Neoplasms;
Delayed Diagnosis;
Humans;
Laparotomy;
Mucins;
Neoplasm Metastasis;
Physical Examination;
Pneumonia;
Prognosis;
Renal Insufficiency;
Seeds
- From:Journal of the Korean Association of Pediatric Surgeons
2008;14(2):189-195
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Colorectal cancer is extremely rare in children. Unlike adult colorectal cancer, the overall prognosis of colorectal cancer in children is poor. Delayed diagnosis, advanced stages of the disease at presentation, and mucinous type of histology are the major determinants of poor outcome in childhood. A 13-year-old boy with abdominal pain visited our hospital. Physical examination andabdominal ultrasonography identified acute appendicitis with perforation. He underwent appendectomy and then the pathologic findings revealed mucinous adenocarcinoma. The cancer was located at the transverse colon and had metastases on peritoneal wall at 2nd laparotomy. Extended right hemicolectomy was performed. He underwent palliative chemotherapy. After 4 months later, hepatic metastasis and aggravated peritoneal seedings developed. He died of renal failure and pneumonia 13 months after operation. We need to have a high index of suspicion for the possibility of a malignant colorectal tumor in any childhood case with nonspecific signs and symptoms.
