Té vesen azonosított szinkrón vastagbé lrák esete

Translated title of the contribution: A case of misidentified synchronous colon cancer

G. Cserni, R. Bori, Qlàh Csaba, Hausinger Péter, Tusa Magdolna, Markó László, Svébis Mihály

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - Synchronous colorectal cancers are not uncommon, therefore, total colonoscopy is indicated even in cases of distally located large bowel carcinomas. CASE REPORT - An 84-year-old man had emergency surgery because of bowel obstruction and a node-negative carcinoma of the sigmoid colon was removed according to Hartmann. Before the reconstruction of bowel continuity, colonoscopy revealed a relatively small polypoid tumour in the right colon, unsuitable for colonoscopic polypectomy. Two localization clips were then inserted at the site of the endoscopic biopsy that later resulted in the diagnosis of adenocarcinoma. At the time of the reconstruction surgery, an appendectomy was also performed and, though the clips were not found, the polypoid tumour was removed through appendectomic orifice. The polyp thus removed, however, proved to be an adenoma. A repeated colonoscopy and biopsy confirmed both the localization clips and the malignant nature of the remaining right-sided lesion, which was finally removed with right hemicolectomy. CONCLUSION - Anatomic localization of rightsided colon cancers by colonoscopy is often imprecise. The correct identification of a malignant tumour may be compromised by a nearby benign lesion. If a lesion was labelled by some means, the localization sign should be identified both intraoperatively and during the gross pathologic work-up, asking for external help (e.g., radiology in case of a metal clip) if necessary.

Original languageHungarian
Pages (from-to)883-887
Number of pages5
JournalLege Artis Medicinae
Volume17
Issue number12
Publication statusPublished - Dec 2007

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Colonoscopy
Surgical Instruments
Colonic Neoplasms
Carcinoma
Biopsy
Neoplasms
Appendectomy
Sigmoid Colon
Polyps
Radiology
Adenoma
Colorectal Neoplasms
Colon
Adenocarcinoma
Emergencies
Metals

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cserni, G., Bori, R., Csaba, Q., Péter, H., Magdolna, T., László, M., & Mihály, S. (2007). Té vesen azonosított szinkrón vastagbé lrák esete. Lege Artis Medicinae, 17(12), 883-887.

Té vesen azonosított szinkrón vastagbé lrák esete. / Cserni, G.; Bori, R.; Csaba, Qlàh; Péter, Hausinger; Magdolna, Tusa; László, Markó; Mihály, Svébis.

In: Lege Artis Medicinae, Vol. 17, No. 12, 12.2007, p. 883-887.

Research output: Contribution to journalArticle

Cserni, G, Bori, R, Csaba, Q, Péter, H, Magdolna, T, László, M & Mihály, S 2007, 'Té vesen azonosított szinkrón vastagbé lrák esete', Lege Artis Medicinae, vol. 17, no. 12, pp. 883-887.
Cserni G, Bori R, Csaba Q, Péter H, Magdolna T, László M et al. Té vesen azonosított szinkrón vastagbé lrák esete. Lege Artis Medicinae. 2007 Dec;17(12):883-887.
Cserni, G. ; Bori, R. ; Csaba, Qlàh ; Péter, Hausinger ; Magdolna, Tusa ; László, Markó ; Mihály, Svébis. / Té vesen azonosított szinkrón vastagbé lrák esete. In: Lege Artis Medicinae. 2007 ; Vol. 17, No. 12. pp. 883-887.
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AU - Magdolna, Tusa

AU - László, Markó

AU - Mihály, Svébis

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AB - INTRODUCTION - Synchronous colorectal cancers are not uncommon, therefore, total colonoscopy is indicated even in cases of distally located large bowel carcinomas. CASE REPORT - An 84-year-old man had emergency surgery because of bowel obstruction and a node-negative carcinoma of the sigmoid colon was removed according to Hartmann. Before the reconstruction of bowel continuity, colonoscopy revealed a relatively small polypoid tumour in the right colon, unsuitable for colonoscopic polypectomy. Two localization clips were then inserted at the site of the endoscopic biopsy that later resulted in the diagnosis of adenocarcinoma. At the time of the reconstruction surgery, an appendectomy was also performed and, though the clips were not found, the polypoid tumour was removed through appendectomic orifice. The polyp thus removed, however, proved to be an adenoma. A repeated colonoscopy and biopsy confirmed both the localization clips and the malignant nature of the remaining right-sided lesion, which was finally removed with right hemicolectomy. CONCLUSION - Anatomic localization of rightsided colon cancers by colonoscopy is often imprecise. The correct identification of a malignant tumour may be compromised by a nearby benign lesion. If a lesion was labelled by some means, the localization sign should be identified both intraoperatively and during the gross pathologic work-up, asking for external help (e.g., radiology in case of a metal clip) if necessary.

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