Korean Journal of Gastrointestinal Endoscopy 2009;39(5): 285-290.
구불결장의 동일 부위에 발생한 선암과 결핵성 림프절염 1예
류성호ㆍ신운건ㆍ이승민ㆍ박소연ㆍ김성준ㆍ유종진ㆍ조성진*ㆍ김학양
한림대학교 의과대학 내과학교실, *병리학교실
Adenocarcinoma and Tuberculous Lymphadenitis on the Same Site of the Sigmoid Colon: A Case Report and Literature Review
Sung Ho Ryu, M.D., Woon Geon Shin, M.D., Seung Min Lee, M.D., So Yeon Park, M.D., Sung Jun Kim, M.D., Jong Jin Yoo, M.D., Seoung Jin Cho, M.D.* and Hak Yang Kim, M.D.
Departments of Internal Medicine and *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. (Korean J Gastrointest Endosc 2009;39:285-290)
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