Korean J Gastrointest Endosc.  2009 Nov;39(5):285-290.

Adenocarcinoma and Tuberculous Lymphadenitis on the Same Site of the Sigmoid Colon: A Case Report and Literature Review

Affiliations
  • 1Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. sgun91@hallym.or.kr
  • 2Department of Pathology, Hallym University College of Medicine, Seoul, Korea.

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.

Keyword

Collision pathology; Colon cancer; Tuberculosis colitis; Sigmoid colon

MeSH Terms

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
Phenobarbital
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