Cohn K H, Weimar J A, Fani K, DeSoto-LaPaix F
Department of Surgery (112A), White River Junction VA, VT 05009-0001.
Surgery. 1993 Feb;113(2):223-6.
The first reported cases of colonic carcinoma arising within a diverticulum are documented. Although colonic diverticulitis and cancer are common diseases in patients over 60 years of age, cancer arising within a diverticulum is rare. Only close histopathologic scrutiny can differentiate inflammatory changes from neoplasia. Because colonic diverticula are characteristically thin-walled, cancers arising within diverticula may easily penetrate the serosa and first be diagnosed at an advanced stage despite their small size.
有文献记载了首例在憩室内发生的结肠癌病例。虽然结肠憩室炎和癌症在60岁以上患者中是常见疾病,但憩室内发生的癌症却很罕见。只有通过细致的组织病理学检查才能区分炎症变化和肿瘤形成。由于结肠憩室壁通常较薄,憩室内发生的癌症可能很容易穿透浆膜,尽管其体积较小,但首次诊断时可能已处于晚期。