Development of invasive adenocarcinoma in a long-standing Kock continent ileostomy: report of a case.
Dis Colon Rectum
; 40(4): 500-3, 1997 Apr.
Article
em En
| MEDLINE
| ID: mdl-9106704
ABSTRACT
The first case of adenocarcinoma developing in a continent ileostomy is reported. A healthy, 39-year-old man with a continent ileostomy for 17 years developed subacute obstructive symptoms and was found on endoscopy to have a large adenocarcinoma involving the intussusception valve. At operation, he was found to have a large tumor originating in the valve, extending through the reservoir, and involving the afferent ileal limb. A number of metastatic lymph nodes were identified in the mesentery of the small bowel. He underwent excision of the pouch and formation of an end ileostomy. He is currently undergoing adjuvant chemotherapy. Biochemical and morphologic changes in the ileal pouch, both in the pelvis and the continent ileostomy, are discussed. The implications of this apparent de novo cancer arising in an ileal pouch are discussed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Adenocarcinoma
/
Proctocolectomia Restauradora
/
Neoplasias do Íleo
/
Valva Ileocecal
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Dis Colon Rectum
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Estados Unidos