J Korean Soc Coloproctol.  2000 Aug;16(4):279-283.

Colon Cancer and Polyposis Associated with Colonic Tuberculosis

• Han MS
• Kim JS
• Kim WS
• Jang HJ
• Kang GH

Abstract

Tuberculosis can involve any part of the gastrointestinal tract but 80~90% of patients present the disease in the ileocecal region. The cases of colon cancer coexisting with colonic tuberculosis are relatively rare and ascending colon is the predominant site of the combined disease. A 46-year-old man, without specific past medical or family history, showed multiple colonic polyps and ulcers on colonoscopic examination. After surgery, the surgical specimen disclosed adenocarcinoma in the ascending colon, eleven adenomatous polyps throughout the colon, and multiple tuberculous ulcers in the entire colon. Tuberculosis of terminal ileum was also accompanied. The association of colonic tuberculosis and colon cancer with multiple polyps in this case may have been coincidental. The preoperative colonoscopic examination and pathologic diagnosis by frozen section during operation are necessary for the adequate treatment.

Keyword

Colonic tuberculosis; Colon cancer; Colonic polyp

MeSH Terms

Adenocarcinoma
Adenomatous Polyps
Colon*
Colon, Ascending
Colonic Neoplasms*
Colonic Polyps
Diagnosis
Frozen Sections
Gastrointestinal Tract
Humans
Ileum
Middle Aged
Polyps
Tuberculosis*
Ulcer