Adenocarcinoma in a Colonic Diverticulum
Author Information
Author(s): A. van Beurden, C.I.M. Baeten, C.P.E. Lange, H. Doornewaard, L.N.L. Tseng
Primary Institution: Groene Hart Ziekenhuis, Gouda, The Netherlands
Hypothesis
Can adenocarcinoma develop within a colonic diverticulum in patients with recurrent diverticulitis?
Conclusion
Adenocarcinoma can arise within a diverticulum, which may be missed during diagnosis of diverticulitis.
Supporting Evidence
- The patient had a history of recurrent diverticulitis since 1993.
- Histopathological examination revealed a submucosal adenocarcinoma within the diverticulum.
- Four out of twelve dissected lymph nodes showed tumor metastases.
Takeaway
Sometimes, cancer can hide in a part of the intestine that is swollen and inflamed, making it hard to find.
Methodology
The case involved a 54-year-old man with recurrent diverticulitis who underwent a sigmoid resection, and the resected specimen was examined histopathologically.
Limitations
Only one case is reported, limiting generalizability.
Participant Demographics
One 54-year-old male patient with a history of recurrent diverticulitis.
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