[一例结肠癌合并肠结核病例及日本报道的26例病例分析]

[A case of colonic carcinoma associated with intestinal tuberculosis, and an analysis of 26 cases reported in Japan].

作者信息

Tanaka K, Kondo S, Hattori F, Yamashita Y, Matsuda M, Itoh K, Okada Y, Kojima K, Nakagami K, Suzuki H

出版信息

Gan No Rinsho. 1987 Aug;33(9):1117-23.

Abstract

A case of tuberculosis and adenocarcinoma co-existing in the ileocecal region in a 61-yr-old woman is described. The Japanese literature is reviewed and several points discussed regarding the epidemiological and morphological features in a colon carcinoma associated with tuberculosis. (1) Females predominate by a ratio of 17:9 in such cases. (2) The tumor has been found in the right side of the colon in 17 out of 26 cases. (3) The most characteristic histological finding is that of the cancer, which shows a well differentiated adenocarcinoma with a tendency to produce a mucin. These unique findings are consistent with those in our case. It is of interest that these unique findings may support the possibility that the cancer originated from a tuberculous lesion.

摘要

本文描述了一例61岁女性回盲部同时存在结核病和腺癌的病例。回顾了日本文献，并就与结核病相关的结肠癌的流行病学和形态学特征进行了几点讨论。（1）在这类病例中，女性占主导，男女比例为17:9。（2）26例中有17例肿瘤位于结肠右侧。（3）最具特征性的组织学表现是癌组织，显示为高分化腺癌，有产生黏液的倾向。这些独特的发现与我们病例中的发现一致。有趣的是，这些独特的发现可能支持癌症起源于结核病灶的可能性。