A CASE OF CANCER OF THE ASENDING COLON ASSOCIATED WITH COLONIC TUBERCULOSIS

Abstract

A 69-year-old woman was admitted to the hospital because of epigastralgia. She had been treated for pulmonary tuberculosis 35 years before admission. A barium enema examination showed an elevated lesion 5 cm in diameter in the ascending colon, ahaustral appearance and multiple pseudo-diverticula of the cecum and ascending colon. Colonoscopic examination demonstrated an elevated lesion in the ascending colon and multiple ulcer scars in the cecum and ascending colon. Biopsy specimens of this lesion revealed well-differentiated tubular adenocarcinoma. Right hemicolectomy was performed. Macroscopic findings revealed that the tumor was 4.5×4.0cm in size. Histologically, the tumor was mainly mucinous adenocarcinoma invading the serosal layer. The nonspecific inflammatory changes were seen in the cecum and ascending colon, but no tuberculous granuloma or atypical epithelium was observed. There has been no evidence of disease as of 1 year after the operation.