J Korean Surg Soc.  2008 May;74(5):392-395.

Cecal Cancer with Xanthogranulomatous Inflammation

• Jung SH
• Kim JH

Abstract

Xanthogranulomatous inflammation is a chronic inflammatory condition characterized by aggregation of lipid-laden foamy macrophages (xanthoma cells). This disease entity is well- recognized in the kidney and gallbladder. However, involvement of the colon is extremely rare. Radiologically, xanthogranulomatous inflammation could be misinterpreted as a locally invasive cancerous lesion. Indeed, coexisting malignancy has been reported in xanthogranulomatous inflammation. In this case report, a woman complained of fever and right lower quadrant abdominal pain for a period of 5 days. A huge mass lesion with severe pericolic infiltration was found on abdominal CT scan. Right hemicolectomy was performed along with removal of the adjacent soft tissue and right ovary and fallopian tube. Pathology examination demonstrated xanthogranulomatous inflammation coexisting with cecal cancer (T3N0M0).

Keyword

Xanthogranulomatous inflammation; Cecal cancer

MeSH Terms

Abdominal Pain
Cecal Neoplasms
Colon
Fallopian Tubes
Female
Fever
Gallbladder
Humans
Inflammation
Kidney
Macrophages
Ovary