Abstract
A 51-year-old man was admitted to our hospital for investigation of fever, lower abdominal pain, and pain on micturition. Barium enema and endoscopic findings revealed an extracanal large cavity of the rectosigmoid colon, which suggested an abscess caused by penetration. Histological examination of the endoscopic biopsy specimen demonstrated no malignancy. A preoperative diagnosis of malignant lymphoma was strongly suspected from the imaging findings; however, intraoperative inspection revealed a large tumor invading the urinary bladder. An intraoperative incisional biopsy was performed and histological examination demonstrated mucinous carcinoma. The patient subsequently underwent pelvic exenteration about 1 week later followed by adjuvant chemotherapy and radiotherapy.
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References
Simonds DA, Vickery AL (1976) Mucinous carcinoma of the colon and rectum. Cancer 37:1891–1900
Umpleby HC, Ramson DL, Williamson RCN (1985) Peculiarities of mucinous colorectal carcinoma. Br J Surg 72:715–718
Iyomasa S, Hirota T, Itabashi M, Hojo K, Moriya Y, Sawada T (1988) Cinicopathological studies of mucinous carcinoma of the large bowel (in Japanese). Nippon Syoukakigeka Gakkai Zasshi (Jpn J Gastroenterol Surg) 21:75–81
Suzuki S, Sekine T, Suda Y (1989) Clinicopathological studies of mucinous carcinoma of the colon and rectum (in Japanese). Nippon Syoukakigeka Gakkai Zasshi (Jpn J Gastroenterol Surg) 22:2666–2670
Kanagawa T, Okajima K, Mizutani H, Toyoda M, Marukawa O, Nishino H, Lee K (1992) Clinicopathological studies of mucinous carcinoma of the large bowel (in Japanese with English abstract). Nippon Daichokomonbyo Gakkai Zasshi (J Jpn Soc Coloproctol) 45:843–850
Misawa K, Sato Y, Nakayama M, Uchino J, Yabuki H, Iida H, Fujisawa J (1992) Clinicopathological features of poorly differentiated and mucinous carcinomas of the large intestine in comparison with differentiated carcinomas (in Japanese with English abstract). Nippon Rinsho Geka Gakkai Zasshi (J Jpn Soc Clin Surg) 53:309–312
Oka M, Uchiyama T, Ogura H, Suzuki T (1992) Clinical and pathological analysis of mucinous carcinoma of the colon and rectum (in Japanese with English abstract). Nippon Rinsho Geka Gakkai Zasshi (J Jpn Soc Clin Surg) 53:2347–2351
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Baba, M., Hideshima, T., Maekawa, T. et al. The unusual presentation of mucinous carcinoma in the colon making preoperative diagnosis difficult: Report of a case. Surg Today 26, 123–125 (1996). https://doi.org/10.1007/BF00311776
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DOI: https://doi.org/10.1007/BF00311776