Chaudhary Poras, Bhadana Utsav, Lal Romesh
General Surgery, Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Delhi, India.
Indian J Surg Oncol. 2021 Mar;12(1):61-66. doi: 10.1007/s13193-020-01249-6. Epub 2020 Oct 14.
Coexistence of carcinoma colon and tuberculosis is rare. The aim of this study is to present our 12-year experience on colonic carcinoma with coexisting colonic TB. Histopathology and imaging records of 189 patients of colonic carcinoma patients who underwent treatment in surgical unit 6 in our institute between January 2006 and December 2017 were reviewed. In 7 patients, histopathology and/or imaging studies were suggestive of coexistence of colonic carcinoma and tuberculosis. Fifteen cases of colonic tuberculosis were also reviewed. Descriptive statistics were used to summarize the data. Colonoscopic biopsy was suggestive of only malignant lesion in 6 cases and coexistence of TB and carcinoma in 1 case. The duration of symptoms spanned between 2 and 7 weeks. Anorexia and weight loss were the predominant symptoms. Colonoscopic biopsy was suggestive of only malignant lesion in 6 cases and coexistence of TB and carcinoma in 1 case. The morbidity was low and there was no surgery associated mortality. Clinical awareness and advancement in diagnostic studies and improvement in management strategies may guide and lead to early diagnosis, optimum therapeutic guidelines and thus improved outcome.
结肠癌与肺结核并存的情况较为罕见。本研究旨在介绍我们在12年间对并存结肠结核的结肠癌患者的诊疗经验。回顾了2006年1月至2017年12月间在我院外科6病房接受治疗的189例结肠癌患者的组织病理学和影像学记录。其中7例患者的组织病理学和/或影像学检查提示结肠癌与肺结核并存。同时还回顾了15例结肠结核病例。采用描述性统计方法对数据进行总结。结肠镜活检显示6例仅为恶性病变，1例为结核与癌并存。症状持续时间为2至7周。厌食和体重减轻是主要症状。结肠镜活检显示6例仅为恶性病变，1例为结核与癌并存。发病率较低，且无手术相关死亡病例。临床意识、诊断研究的进步以及管理策略的改进可能有助于早期诊断、制定最佳治疗方案，从而改善治疗效果。
