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KMID : 0359020090390050285
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.39 No. 5 p.285 ~ p.290
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Adenocarcinoma and Tuberculous Lymphadenitis on the Same Site of the Sigmoid Colon: A Case Report and Literature Review
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Ryu Sung-Ho
Shin Woon-Geon
Lee Seung-Min
Park So-Yeon
Kim Sung-Jun
Yoo Jong-Jin
Cho Seong-Jin
Kim Hak-Yang
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Abstract
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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.
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KEYWORD
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Collision pathology, Colon cancer, Tuberculosis colitis, Sigmoid colon
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