Carcinoma Arising from the Colon and Ileum Complicated with Ileal Tuberculosis, Report of a Case Masahiro Tada 1 , Seiji Shimizu 1 , Yoshinori Tanaka 1 , Minoru Yamamoto 2 , Minoru Harada 2 1The Second Department of Internal Medicine, Kyoto First Red Cross Hospital 2Takaori Hospital pp.81-86
Published Date 1985/1/25
DOI https://doi.org/10.11477/mf.1403109668
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 A 74 year-old woman visited our hospital complaining of abdominal distension. Barium enema study revealed a punched-out ulcer with irregular margin surrounded by polypoid lesions at the transverse colon. X-ray examination of the small intestine also disclosed two lesions presenting apple-core sign in the ileum. Linear ulcer and/or scar and pseudodivertcula were observed on the mucosa between two lesions where Kerckring's folds were lacking. Histological examination of the resected specimens from the colon and ileum yielded the same histological diagnosis of poorly differentiated adenocarcinoma; however, it could not be determined whether they were primary lesions and its metastatic foci or triple cancer. Cancer cell emboli were observed in the veins and lymphatics just beneath the linear ulcer of the ileum, and non-caseating granuloma with Langhans' giant cells were revealed near the ileal cancer which were the typical histological findings of tuberculosis of the ileum.

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