Department of Gastroenterology, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey.
Clin Colorectal Cancer. 2009 Jul;8(3):169-71. doi: 10.3816/CCC.2009.n.028.
Colorectal carcinoma, primarily a disease of adulthood, accounts for 0.2% of malignancies in adolescents and has very rarely been reported in childhood. Herein, we report a 15-year-old boy who presented with rectal bleeding, lower abdominal pain, and diarrhea. His physical examination revealed tender abdomen with hepatomegaly. A hard mass was palpated by digital rectal examination. Histologic examination revealed a mucinous rectal adenocarcinoma. He died 4 months after diagnosis. This case highlights the need for awareness of colorectal carcinomas and their invasive nature in the differential diagnosis of rectal bleeding and diarrhea in adolescents.
结直肠癌主要是一种成年期疾病，在青少年中的发病率占恶性肿瘤的 0.2%，在儿童中极为罕见。在此，我们报告一例 15 岁男孩，以直肠出血、下腹痛和腹泻为主要表现。体格检查示腹部触痛伴肝大。直肠指诊可触及一硬性肿块。组织学检查显示黏液性直肠腺癌。诊断后 4 个月死亡。本病例强调了在青少年直肠出血和腹泻的鉴别诊断中需要注意结直肠癌及其侵袭性。
