Colon Cancer and Polyposis Associated with Colonic Tuberculosis.

, Han, Myoung Sik; , Kim, Jee Soo; , Kim, Wan Soo; , Jang, Hyuk Jai; , Kang, Gil Hyun

Original Article

Journal of the Korean Society of Coloproctology 2000;16(4):279-283.

Han, Myoung Sik , Kim, Jee Soo , Kim, Wan Soo , Jang, Hyuk Jai , Kang, Gil Hyun

¹Department of Surgery, Kang Nung Hospital, Kangnung, Korea.
²Department of Pathology, Kang Nung Hospital, Kangnung, Korea.

Abstract

Tuberculosis can involve any part of the gastrointestinal tract but 80~90% of patients present the disease in the ileocecal region. The cases of colon cancer coexisting with colonic tuberculosis are relatively rare and ascending colon is the predominant site of the combined disease. A 46-year-old man, without specific past medical or family history, showed multiple colonic polyps and ulcers on colonoscopic examination. After surgery, the surgical specimen disclosed adenocarcinoma in the ascending colon, eleven adenomatous polyps throughout the colon, and multiple tuberculous ulcers in the entire colon. Tuberculosis of terminal ileum was also accompanied. The association of colonic tuberculosis and colon cancer with multiple polyps in this case may have been coincidental. The preoperative colonoscopic examination and pathologic diagnosis by frozen section during operation are necessary for the adequate treatment.

Key Words: Colonic tuberculosis; Colon cancer; Colonic polyp