구불결장의 동일 부위에 발생한 선암과 결핵성 림프절염 1예 = Adenocarcinoma and Tuberculous Lymphadenitis on the Same Site of the Sigmoid Colon: A Case Report and Literature Review

다국어 초록 (Multilingual Abstract)

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.

국문 초록 (Abstract)

선암종에는 그 전암성 병변인 선종이 혼재하는 경우가 흔한데 염증성 병변인 건락성 육아종 위에 선암종이 경계를 분명히 하며 얹혀 있는 형태의 충돌 병변은 매우 흥미로운 경우로, 결핵과 대장암의 공존의 기존 보고는 대장결핵의 호발 부위인 회맹부, 상행결장에 우세하게 발견되었으나 대장암의 호발 부위인 구불 결장에 충돌 병변 모양으로 보고된 예는 아직까지 없었다. 본 증례는 좌하복부 동통, 복부 팽만감, 체중 감소를 보이던 남자에서 구불결장의 동일한 위치에 대장암과 결핵병소가 경계를 분명히 하면서 충돌 형태로 나타나 수술 후 항결핵제 투여하여 치료한 예를 경험하여 보고한다.

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