Acta Medica Okayama volume73 issue4
2019-08 発行

A Case of Primary Colonic Signet Ring Cell Carcinoma in a Young Man which Preoperatively Mimicked Phlebosclerotic Colitis

Watanabe, Ayako Department of Surgery, Japanese Red Cross Kobe Hospital
Kadowaki, Yoshihiko Department of Surgery, Japanese Red Cross Kobe Hospital
Hattori, Kenji Department of Surgery, Japanese Red Cross Kobe Hospital
Ohmori, Mika Department of Radiology, Japanese Red Cross Kobe Hospital
Tsukayama, Hiroyuki Department of Surgery, Japanese Red Cross Kobe Hospital
Kubota, Nobuhito Department of Surgery, Japanese Red Cross Kobe Hospital
Okumoto, Tatsuo Department of Surgery, Japanese Red Cross Kobe Hospital
Ishido, Nobuhiro Department of Surgery, Japanese Red Cross Kobe Hospital
Okino, Takeshi Department of Pathology, Japanese Red Cross Kobe Hospital
Publication Date
2019-08
Abstract
A 35-year-old man was referred to our hospital for chronic abdominal pain and diarrhea. Computed tomography showed wall thickening, poor contrast enhancement and calcification of the ascending colon, which were consistent with phlebosclerotic colitis. Malignant character was not detected from a biopsy specimen. Operatively, we observed a scirrhous mass of the ascending colon invading surrounding tissue, which was diagnosed as signet ring cell carcinoma based on analysis of an intraoperative frozen section. Right hemicolectomy with regional lymph node dissection was performed. This case was extremely similar to phlebosclerotic colitis in clinical findings; surgical resection was required for correct diagnosis.
Document Type
Case Report
Keywords
phlebosclerotic colitis
colorectal cancer
signet ring cell carcinoma
young colorectal cancer
Link to PubMed
Thumnail 73_4_361.pdf 3.46 MB