Abstract
A case of juvenile colon cancer is reported. A 15-year-old boy was referred to the clinic from another local hospital for examination of the colon, because left upper abdominal pain lasted after medication for salmonella colitis, and a colonoscopy revealed an incomplete obstruction in the transverse colon near the splenic flexure with an irregular contour. Biopsy specimen showed signet ring cell carcinoma. Imaging diagnosis indicated no distant metastasis. Laparotomy revealed that the carcinoma invaded the surface of peritoneum and extended to the serosal surface. Macrospically the lesion revealed a specific morphology of aortic aneurysm type looked like malignant lymphoma that was longitudinally long and had a slightly dilated middle portion. We performed a transverse colectomy with lymph node dissection and administered CDDP 75mg i. p. Histopathological findings showed that mucinous carcinoma involved signet ring cell carcinoma with extensive lympatic invasion. Para-aortic and mesenteric lymph nodes were involved distantly. The patient is strictly followed up in the clinic, as of 20 months after the operation.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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