A Case of Diffuse Infiltrative Colon Cancer Coexisting with Colonic Tuberculosis.
- Author:
Chang Yoon HA
1
;
Hye Kyung JUNG
;
Jung Hwa RYU
;
Hae Sun JUNG
;
Gun Woo PYUN
;
Doe Young KIM
;
Il Hwan MOON
;
Min Sun CHO
Author Information
1. Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea. junghk@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Colon cancer;
Colonic tuberculosis;
Diffuse infiltrating cancer
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Colitis;
Colon*;
Colon, Transverse;
Colonic Neoplasms*;
Colonoscopy;
Colorectal Neoplasms;
Diarrhea;
Female;
Fibrosis;
Granuloma;
Humans;
Inflammatory Bowel Diseases;
Intestinal Obstruction;
Middle Aged;
Mycobacterium tuberculosis;
Tuberculosis*;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2004;29(6):524-528
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Inflammatory bowel disease has a potential risk of developing colorectal cancer. However, there is little causal relationship between intestinal tuberculosis and colon cancer because intestinal tuberculosis is curable disease and has relatively short disease course. But there were a few case reports of intestinal tuberculosis associated with colon cancer. Diffuse infiltrating colon cancer, characterized by tumor cells in the presence of inflammatory changes with much fibrosis, is very rare in the colon. We experienced a 49-year-old woman who had tuberculous colitis combined with diffuse infiltrative colon cancer. She visited our hospital because of chronic diarrhea and abdominal pain. Colonoscopy showed multiple geographic ulcers in the transverse colon and partial intestinal obstruction. Histological examination revealed non-caseating granuloma and Mycobacterium tuberculosis was cultured in biopsied tissue. She took an anti-tuberculosis drug for 2 weeks, but her symptoms were aggravated. Therefore, extended right hemicolectomy was performed and revealed mucin-secreting, diffuse infiltrating adenocarcinoma. Herein, we report a rare case of diffuse infiltrative colon cancer coexisting with colonic tuberculosis with a review of liferatures.
