The unusual presentation of mucinous carcinoma in the colon making preoperative diagnosis difficult: Report of a case
Autor: | Teru Hideshima, Yuichi Yamashita, Takayuki Shirakusa, Takafumi Maekawa, Masato Kumamoto, Miki Baba |
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Rok vydání: | 1996 |
Předmět: |
Diagnostic Imaging
Male medicine.medical_specialty Colon Biopsy medicine.medical_treatment Rectosigmoid Colon Malignancy Diagnosis Differential medicine Humans Mucinous carcinoma Neoplasm Invasiveness Abscess Barium enema Urinary bladder Pelvic exenteration business.industry General surgery Colonoscopy General Medicine Middle Aged medicine.disease Adenocarcinoma Mucinous Radiation therapy medicine.anatomical_structure Colonic Neoplasms Surgery Radiology business |
Zdroj: | Surgery Today. 26:123-125 |
ISSN: | 1436-2813 0941-1291 |
Popis: | A 51-year-old man was admitted to our hospital for investigation of fever, lower abdominal pain, and pain on micturition. Barium enema and endoscopic findings revealed an extracanal large cavity of the rectosigmoid colon, which suggested an abscess caused by penetration. Histological examination of the endoscopic biopsy specimen demonstrated no malignancy. A preoperative diagnosis of malignant lymphoma was strongly suspected from the imaging findings; however, intraoperative inspection revealed a large tumor invading the urinary bladder. An intraoperative incisional biopsy was performed and histological examination demonstrated mucinous carcinoma. The patient subsequently underwent pelvic exenteration about 1 week later followed by adjuvant chemotherapy and radiotherapy. |
Databáze: | OpenAIRE |
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