1982 Volume 24 Issue 3 Pages 494-498_1
This report is a presentation of a case of colonic carcinoma complicated with tuberculous scar. The patient was 69-year-old female who was admitted to our hospital complaining of swelling of a lymph node in the left neck. Resected specimen of the lymph node revealed adenocarcinoma. Therefore, examination of G-I tract was performed in order to detect the primary lesion. Upper G-I series showed no abnormalities. In the barium enema examination, marked shortening of he ascending colon was noted. Haustra was absent in the ascending colon and the proximal transverse colon. Convergence of the mucosal folds owing to the ulcer scar was scattered. In addition, stenosis of the lumen and irregular form of excavation were found in the hepatic flexure. In the colonofiberscopic examination, convergence of the mucosal folds in the ascending colon and incompetent ileocecal valve were obrerved. Irregular form of ulceration with dirty whitish coating was found in the hepatic flexure. Biopsied specimen taken from the ulcerated area revealed adenocarcinoma. Macroscopic finding of the resected specimen was type 2 of colonic carcinoma. Ascending colon was shortened and convergence of the mucosal folds was scattered. Histologically, well differentiated adenocarcinoma was found in the hepatic flexure. In the ascending colon, mild atrophy of the mucosa, interruption of the muscularis mucosa, and fibrosis in the submucosa were present. From these findings, diagnosis of colonic carcinoma complicated with tuberculous scar was made though typical tuberculous tubercle was not found.
