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Small primary de novo adenocarcinoma of the colon with mesenteric lymphatic metastasis
Author(s) -
Jelinek Gary P.,
Nava Hector R.,
Nime Freda
Publication year - 1983
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930230313
Subject(s) - medicine , colonoscopy , adenocarcinoma , colorectal cancer , carcinoma , lymphatic system , metastasis , lesion , transverse colon , pathology , lymphovascular invasion , gastroenterology , cancer , radiology
It is felt that the majority of colorectal carcinomas develop by malignant degeneration of previously benign adenomatous polyps. A small primary colon carcinoma, thought to have developed de novo directly from the colonic mucosa without the usual polyp‐cancer sequence, is reported. This small nonulcerated lesion did not have the gross endoscopic appearance of a carcinoma and was associated with lymphatic metastasis. The need to include fiber‐optic colonoscopy as part of the routine preoperative work‐up and postoperative follow‐up to rule out synchronous and metachronous lesions not detected by barium contrast x‐ray studies is stressed.