Conundrum of a Large Bowel Neoplasm: Collision Tumor
Author(s) -
Antonio Soto,
Ekie G. Vázquez,
Nicole M. Grigg-Gutierrez,
Priscilla Magno-Pagatzaurtundua,
William Cáceres,
Doris H. Toro
Publication year - 2018
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.2018.13
Subject(s) - medicine , ascending colon , colonoscopy , gastroenterology , adenocarcinoma , biopsy , anemia , colectomy , diarrhea , lymphoma , pathology , ulcerative colitis , radiology , colorectal cancer , disease , cancer
A 79-year-old Hispanic man was admitted to the intensive care unit with symptomatic iron-deficiency anemia and watery diarrhea. Radiological images revealed diffuse colonic wall thickening, a soft-tissue fullness in the ascending colon, and multiple mesenteric lymphadenopathies. Colonoscopy showed multiple aphthous ulcers throughout the colon and a large deep ulcer with irregular raised borders in the rectosigmoid area. Histological exam of the ulcers showed severe ulcerative colitis, while biopsy of the deep ulcer revealed a well-differentiated adenocarcinoma. Colectomy specimen was consistent with colliding diffuse large B-cell lymphoma and adenocarcinoma.
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