Gut Liver.  2012 Jan;6(1):129-131.

A Rare Case of a Signet Ring Cell Carcinoma of the Colon Mimicking a Juvenile Polyp

Affiliations
  • 1Department of Internal Medicine, Armed Forces Daejeon Hospital, Daejeon, Korea.
  • 2Korea Advanced Institute of Science and Technology, Daejeon, Korea.
  • 3Department of Pathology, Jeju National University Hospital, Jeju, Korea.
  • 4Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea. mhs1357@cnuh.co.kr

Abstract

Primary signet ring cell carcinoma (SRC) of colon at early stage is quite rare. Only 26 cases were reported until now. We report an early stage of primary SRC which was misdiagnosed as a juvenile polyp and treated with polypectomy followed by surgical resection. A 21-year-old male was administered for hematochezia. Abdominopelvic enhanced computed tomography revealed a polyp with active bleeding at the proximal rectum just below the rectosigmoid junction. Colonoscopy examination revealed a colon polyp with 0.5 cm sized head. Polypectomy was performed with snare and the polyp was completely removed. Biopsy revealed SRC. Surgical resection was also performed and there were no residual tumor or lymph node metastasis in the surgical specimen.

Keyword

Signet ring cell carcinoma; Early colon cancer; Juvenile polyp; Polypectomy

MeSH Terms

Biopsy
Carcinoma, Signet Ring Cell
Colon
Colonoscopy
Gastrointestinal Hemorrhage
Head
Hemorrhage
Humans
Lymph Nodes
Male
Neoplasm Metastasis
Neoplasm, Residual
Polyps
Rectum
SNARE Proteins
Young Adult
SNARE Proteins
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