[Ulcerative colitis complicated by early carcinoma of the rectum and cholecystolithiasis].
Reported is a case of a 73-year-old male with a history of ulcerative colitis that had started at the age of 57. In 1985, on receiving a barium enema, a polypoid lesion was found in his rectum. In 1986, the results of a colonoscopy showed that the polypoid lesion had reached an IIa-aggregated elevation, and biopsies of this lesion were diagnosed as an adenoma or a hyperplastic polyp. A year later, in 1987, another biopsy specimen was taken and was histologically diagnosed as being an adenomatous cancer. Thus, a pull-through operation and a cholecystectomy were performed. The lesion was 4.5 x 3.0 cm in diameter, and the histological findings showed it to be a well-differentiated adenocarcinoma with a submucosal invasion. Accordingly, physicians should be advised that patients with a longstanding ulcerative colitis ought to undergo periodic examination that includes a colonoscopy and a biopsy of any suspicious growth.
Kubo
A
A
Dept. of Int. Med., Tokyo Metropolitan Fuchu Hospital.
Kuma
E
E
Nakagawa
H
H
Kagaya
T
T
Yazawa
C
C
Toyosawa
T
T
Mizuguchi
K
K
D000230:Adenocarcinoma / Q000150:complications* / Q000473:pathology; D000368:Aged; D002769:Cholelithiasis / Q000150:complications*; D003093:Colitis, Ulcerative / Q000150:complications*; D003113:Colonoscopy; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D012004:Rectal Neoplasms / Q000150:complications* / Q000473:pathology