title: Adenocarcinoma in the ileostomy of a patient with long-standing ulcerative colitis: a case report and review of the literature.
abstract: Primary adenocarcinoma in a permanent ileostomy carries a poor prognosis from other gastrointestinal malignancies. Surveillance and identification of patient at risk for ileostomy malignancies is a challenging problem. There are not reliable biological markers. The clinical evaluation, suspicion of the disease, common presenting symptoms including difficulty fitting the stomal appliance, bowel obstruction, and a friable mass should be considered as part of the evaluation and screening in a long standing terminal ileostomy. Biopsy of newly developed lesions in the periostomal area is recommended for diagnosis and treatment. This is a case of a primary adenocarcinoma in an ileostomy forty years after total colectomy for ulcerative colitis.
authors: Ada N
authors: AN
authors: Acosta Martínez
authors: Francisco
authors: F
authors: Juame Anselmi
authors: Axel
authors: A
authors: Baez-Torres
authors: Rubén
authors: R
authors: Alvarez
authors: Norman
authors: N
authors: Ramirez-Lluch
authors: Heriberto
authors: H
authors: Sánchez
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology*; D003093:Colitis, Ulcerative / Q000150:complications*; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged