Korean J Gastrointest Endosc > Volume 37(5); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(5): 369-373.
장결핵에 동반된 대장암 1예
차재명ㆍ이정일ㆍ최재원ㆍ주광로ㆍ정성원ㆍ신현필ㆍ허우영ㆍ이석환*
경희대학교 의과대학 내과학교실, *외과학교실
A Case of Colon Cancer Coexisting with Colonic Tuberculosis
Jae Myung Cha, M.D., Joung Il Lee, M.D., Jae Won Choe, M.D., Kwang Ro Joo, M.D.,Sung Won Jung, M.D., Hyun Phil Shin, M.D., Woo Young Hew, M.D. and Suk-Hwan Lee, M.D.*
Departments of Internal Medicine and *Surgery, Kyunghee University College of Medicine, Seoul, Korea
Abstract
Patients with chronic inflammatory bowel disease have a potential risk for developing colorectal cancer. Simultaneous occurrence of tuberculosis and colon cancer at the same segment of the colon has been reported; however, there is little causal relationship between the two disorders. The occurrence of tuberculosis and an adenocarcinoma at the same segment of the colon may lead to a histological misdiagnosis of either lesion. Furthermore, it may be difficult to determine the correct radiological cancer staging before surgery, as tuberculous lymphadenitis may be misinterpreted as a lymph node metastasis of colon cancer. We report here a rare case of colon cancer coexisting with colonic tuberculosis at the same segment of the colon. In addition, we review the clinical characteristics of reported patients with similar conditions following a computerized search of KoreaMed and PubMed. (Korean J Gastrointest Endosc 2008;37:369-373)
Key Words: Colon cancer, Intestinal tuberculosis
주요어: 대장암, 장결핵
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