Carcinoma arising in an ileostomy stoma: an unusual complication of adenomatous polyposis coli.
A patient with adenomatous polyposis coli (APC) without extraintestinal lesions is presented. The clinical course was complicated by rectal adenocarcinoma following subtotal colectomy. A primary adenocarcinoma arising in a villous adenoma within the ileostomy stoma developed seven years later. The varied pathology of gastric and small intestinal involvement in APC/Gardner's syndrome is reviewed. Greater awareness of these lesions has implications for further management.
D000009:Abdominal Muscles; D000230:Adenocarcinoma / Q000209:etiology / Q000473:pathology*; D000236:Adenoma / Q000473:pathology; D000328:Adult; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D003537:Cystadenoma / Q000473:pathology; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects; D007416:Intestinal Perforation / Q000601:surgery; D007417:Intestinal Polyps / Q000473:pathology / Q000601:surgery*; D008297:Male; D009378:Neoplasms, Multiple Primary; D012004:Rectal Neoplasms / Q000473:pathology; D012008:Recurrence