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Concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: A case report
RATIONALE: Few cases have been reported of the coexistence of tuberculosis and adenocarcinoma of the large bowel. We report a rare case of concurrent ascending colon adenocarcinoma and ileocecal tuberculosis, which were nearly indistinguishable from one another. PATIENT CONCERNS: A 59-year-old man v...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276159/ https://www.ncbi.nlm.nih.gov/pubmed/35623078 http://dx.doi.org/10.1097/MD.0000000000029430 |
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author | Park, Sun Min Kim, Ji Hoon Chong, Yosep Kang, Won-Kyung |
author_facet | Park, Sun Min Kim, Ji Hoon Chong, Yosep Kang, Won-Kyung |
author_sort | Park, Sun Min |
collection | PubMed |
description | RATIONALE: Few cases have been reported of the coexistence of tuberculosis and adenocarcinoma of the large bowel. We report a rare case of concurrent ascending colon adenocarcinoma and ileocecal tuberculosis, which were nearly indistinguishable from one another. PATIENT CONCERNS: A 59-year-old man visited our clinic with dizziness and anorexia. DIAGNOSIS: Computed tomography revealed a mass in the ascending colon with ill-defined nodules in the liver. A colon biopsy showed adenocarcinoma with multinucleated giant cells. The liver nodules were confirmed to be metastatic adenocarcinomas. INTERVENTIONS: Ant tuberculosis medications were administered prior to surgery. Two weeks later, a laparoscopic right hemicolectomy and radiofrequency ablation of the liver were performed. OUTCOMES: The final pathology confirmed adenocarcinoma with chronic granulomatous inflammation and giant cells. LESSONS: In this patient, the cancer was in an advanced stage and had no history of tuberculosis infection. Thus, in this case, the malignancy seemed to create the proper environment for either reactivation of a latent tuberculosis infection or, less likely, for the acquisition of a primary mycobacterial infection. In conclusion, clinicians should be aware of the possibility of concurrent colon adenocarcinoma and intestinal tuberculosis. |
format | Online Article Text |
id | pubmed-9276159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-92761592022-07-13 Concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: A case report Park, Sun Min Kim, Ji Hoon Chong, Yosep Kang, Won-Kyung Medicine (Baltimore) 5700 RATIONALE: Few cases have been reported of the coexistence of tuberculosis and adenocarcinoma of the large bowel. We report a rare case of concurrent ascending colon adenocarcinoma and ileocecal tuberculosis, which were nearly indistinguishable from one another. PATIENT CONCERNS: A 59-year-old man visited our clinic with dizziness and anorexia. DIAGNOSIS: Computed tomography revealed a mass in the ascending colon with ill-defined nodules in the liver. A colon biopsy showed adenocarcinoma with multinucleated giant cells. The liver nodules were confirmed to be metastatic adenocarcinomas. INTERVENTIONS: Ant tuberculosis medications were administered prior to surgery. Two weeks later, a laparoscopic right hemicolectomy and radiofrequency ablation of the liver were performed. OUTCOMES: The final pathology confirmed adenocarcinoma with chronic granulomatous inflammation and giant cells. LESSONS: In this patient, the cancer was in an advanced stage and had no history of tuberculosis infection. Thus, in this case, the malignancy seemed to create the proper environment for either reactivation of a latent tuberculosis infection or, less likely, for the acquisition of a primary mycobacterial infection. In conclusion, clinicians should be aware of the possibility of concurrent colon adenocarcinoma and intestinal tuberculosis. Lippincott Williams & Wilkins 2022-05-27 /pmc/articles/PMC9276159/ /pubmed/35623078 http://dx.doi.org/10.1097/MD.0000000000029430 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | 5700 Park, Sun Min Kim, Ji Hoon Chong, Yosep Kang, Won-Kyung Concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: A case report |
title | Concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: A case report |
title_full | Concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: A case report |
title_fullStr | Concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: A case report |
title_full_unstemmed | Concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: A case report |
title_short | Concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: A case report |
title_sort | concurrent ascending colon adenocarcinoma and ileocecal tuberculosis: a case report |
topic | 5700 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276159/ https://www.ncbi.nlm.nih.gov/pubmed/35623078 http://dx.doi.org/10.1097/MD.0000000000029430 |
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