대장결핵에 동반된 대장암 및 다발성 대장용종 1예
Colon Cancer and Polyposis Associated with Colonic Tuberculosis
한명식, 김지수, 김완수, 장혁재, 강길현,
소속 상세정보
한명식 ( Han Myung-Sik )
강릉병원 일반외과
김지수 ( Kim Jee-Soo )
강릉병원 일반외과
김완수 ( Kim Wan-Soo )
강릉병원 일반외과
장혁재 ( Jang Hyuk-Jai )
강릉병원 일반외과
강길현 ( Kang Kil-Hyun )
강릉병원 진단병리과
KMID : 0356720000160040279
Abstract
Tuberculosis can involve any part of the gastrointestinal tract but 80∼90% of patients present the disease in the ileocecal region. The cases of colon cancer coexisting with colonic tuberculosis are relatively rare and ascending colon is the predominant site of the combined disease. A 46-year-old man, without specific past medical or family history, showed multiple colonic polyps and ulcers on colonoscopic examination. After surgery, the surgical specimen disclosed adenocarcinoma in the ascending colon, eleven adenomatous polyps throughout the colon, and multiple tuberculous ulcers in the entire colon. Tuberculosis of terminal ileum was also accompanied. The association of colonic tuberculosis and colon cancer with multiple polyps in this case may have been coincidental. The preoperative colonoscopic examination and pathologic diagnosis by frozen section during operation are necessary for the adequate treatment.
키워드
Colonic tuberculosis;Colon cancer;Colonic polyp
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