[Atypical presentation of a colorectal carcinoma].

Abstract

We report a 67 years old male with a history of pulmonary tuberculosis at the age of 15, that consults for malaise, weight loss and productive cough. Chest X ray examination showed a left pleural effusion. A pleural tap obtained a sterile exudate. A thorax CAT scan showed a proliferating mass in the splenic angle of the colon, with left lung and diaphragmatic invasion. Endoscopic biopsies confirmed the diagnosis of adenocarcinoma. The patient underwent a subtotal colectomy with partial excision of diaphragm and left lung. The pathological report showed a mucosecretory adenocarcinoma, infiltrating the pericolonic adipose tissue without adjacent organ infiltration and a chronic inflammatory process involving colonic serosa, diaphragm pleura, and lung. Adjuvant chemotherapy was indicated and the patient is asymptomatic and without evidences of tumor recurrence after a 24 months follow up.

• Authors: Demian A Fullerton, Francisco López, Rodolfo Avendaño, Rodrigo Aparicio, Ignacio Wistuba
• Journal: Revista medica de Chile (Rev Med Chil) Vol. 132 Issue 8 Pg. 985-8 (Aug 2004) ISSN: 0034-9887 [Print] Chile
• Vernacular Title: Cáncer colorrectal de presentación atípica.
• PMID: 15478301 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adenocarcinoma, Mucinous (pathology, surgery)
• Aged
• Colorectal Neoplasms (pathology, surgery)
• Diaphragm (pathology, surgery)
• Follow-Up Studies
• Humans
• Lung Neoplasms (pathology, surgery)
• Male
• Muscle Neoplasms (pathology, surgery)
• Neoplasm Invasiveness