Adenocarcinoma and Tuberculous Lymphadenitis on the Same Site of the Sigmoid Colon: A Case Report and Literature Review.
- Author:
Sung Ho RYU
1
;
Woon Geon SHIN
;
Seung Min LEE
;
So Yeon PARK
;
Sung Jun KIM
;
Jong Jin YO
;
Seoung Jin CHO
;
Hak Yang KIM
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. sgun91@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Collision pathology;
Colon cancer;
Tuberculosis colitis;
Sigmoid colon
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Colon, Sigmoid;
Colonic Neoplasms;
Colonoscopy;
Gastrointestinal Hemorrhage;
Granuloma;
Humans;
Inflammatory Bowel Diseases;
Lymph Nodes;
Middle Aged;
Muscles;
Phenobarbital;
Serous Membrane;
Tuberculosis;
Tuberculosis, Lymph Node
- From:Korean Journal of Gastrointestinal Endoscopy
2009;39(5):285-290
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Inflammatory bowel disease can progress to colon cancer. However, there is not much of a causal relationship between intestinal tuberculosis and colon cancer. There have been a few case reports of intestinal tuberculosis in association with colon cancer. We experienced a 59-year-old man who had the collision-like pathology of adenocarcinoma and tuberculous lymphadenitis on the sigmoid colon. He visitied our hospital because of abdominal pain and hematochezia. Colonoscopy showed a mass on the sigmoid colon that was causing luminal obstruction. Therefore, sigmoidectomy was performed and the resected specimen revealed a collision-like appearance; the mass was composed of adenocarcinoma invading the proper muscle layer and caseating granuloma in the serosa and lymph nodes. We report here on a case of collision-like pathology that was composed of adenocarcinoma and tuberculosis on the sigmoid colon, and we review the relevant literature.
