Feng Jiazuo H, Navas Christopher M, Olofson Andrea M, Ahmed Nayla
Department of Internal Medicine, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine, Lebanon, New Hampshire, USA.
Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine, Lebanon, New Hampshire, USA.
Case Rep Gastroenterol. 2019 Feb 20;13(1):85-88. doi: 10.1159/000493920. eCollection 2019 Jan-Apr.
Signet-ring cell carcinoma is a rare adenocarcinoma, predominantly affecting the stomach and ovaries. Primary sites elsewhere are rarer. It is recognized that there is an increased cancer risk with the diagnosis of Crohn's disease. We report a patient with Crohn's disease who was diagnosed with signet-ring cell carcinoma in the setting of a Crohn's flare. Diagnosis was made with endoscopy. Treatment included laparoscopic-assisted right hemicolectomy with ileostomy with subsequent chemotherapy as an outpatient.
印戒细胞癌是一种罕见的腺癌,主要累及胃和卵巢。其他原发部位则更为罕见。人们认识到,克罗恩病的诊断会增加患癌风险。我们报告一例患有克罗恩病的患者,其在克罗恩病发作时被诊断为印戒细胞癌。通过内镜检查做出诊断。治疗包括腹腔镜辅助右半结肠切除术加回肠造口术,随后作为门诊患者进行化疗。