대장암과 동반된 대장 결핵 1예
A Case of Colon Cancer Associated with Colonic Tuberculosis
윤상철, 신응진, 송옥평, 김현철, 임철완, 조규석, 주종우, 이효원,
소속 상세정보
윤상철 ( Yoon Sang-Chul )
순천향대학교 의과대학 외과학교실
신응진 ( Shin Eung-Jin )
순천향대학교 의과대학 외과학교실
송옥평 ( Song Ok-Pyung )
순천향대학교 의과대학 외과학교실
김현철 ( Kim Hyung-Chul )
순천향대학교 의과대학 외과학교실
임철완 ( Lim Chul-Wan )
순천향대학교 의과대학 외과학교실
조규석 ( Cho Gyu-Seok )
순천향대학교 의과대학 외과학교실
주종우 ( Chu Chong-Woo )
순천향대학교 의과대학 외과학교실
이효원 ( Lee Hyo-Won )
순천향대학교 의과대학 외과학교실
KMID : 0356720070230030194
Abstract
Department of Surgery, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Gyeonggi, Korea
Inflammatory bowel disease, such as ulcerative colitis and Crohn’s disease, has a potential risk of developing into colorectal cancer. However, there is little relationship between intestinal tuberculosis and colon cancer because intestinal tuberculosis is a curable disease and has a relatively short disease course. Nevertheless, there have been a few case reports of intestinal tuberculosis associated with colon cancer. There was a case report in which the carcinoma facilitated entry of tubercle bacilli with development of a secondary infection, and ulcerative lesions of tuberculosis may be precursors of carcinomas. We experienced a 77-year-old woman who had intestinal tuberculosis combined with ascending colon cancer. She visited our hospital because of abdominal pain and constipation. Colonoscopy showed a luminal obstruction mass in the ascending colon. Histologic examination revealed an adenocarcinoma. After surgery, the surgical specimen disclosed an adenocarcinoma in the cecum and ascending colon and intestinal tuberculosis around the cancer site of the cecum. Herein, we report a rare case of colon cancer co-existing with colonic tuberculosis with a review of the literature. J Korean Soc Coloproctol 2007;23:194-198
키워드
대장암;핵
Colon cancer;Tuberculosis
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