Pediatr Gastroenterol Hepatol Nutr.  2018 Jan;21(1):72-75. 10.5223/pghn.2018.21.1.72.

An Unusual Presentation of Rectal Carcinoma in a Child

• Tiwari C
• Zadpe A
• Rathi P
• Shah H

• KMID: 2401776
• DOI: http://doi.org/10.5223/pghn.2018.21.1.72

Abstract

Colorectal carcinoma is a well-known malignancy in adults. However, it is rare in children. Besides, it also has different behaviour in paediatric age-group and usually presents with non-specific symptoms like abdominal pain, weight loss, and anaemia. This usually leads to delay in diagnosis. Adenocarcinoma in children has unfavourable tumour histology (mucinous subtype) and advanced disease stage at presentation which lead to poorer prognosis in children. Family history, genetic typing and sibling screening are essential components of management as this malignancy is frequently seen associated with hereditary syndromes. We describe a case of unusual presentation of rectal carcinoma in a 12-year-old girl.

Keyword

Rectal neoplasms; Child; Anorectal stenosis

MeSH Terms

Abdominal Pain
Adenocarcinoma
Adult
Child*
Colorectal Neoplasms
Diagnosis
Female
Humans
Mass Screening
Prognosis
Rectal Neoplasms
Siblings
Weight Loss

Figure

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  Fig. 1 Local examination of the patient showing anorectal stenosis.

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  Fig. 2 Computed tomography scan of the patient showing circumferential rectum thickening with frozen pelvis.

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  Fig. 3 High power view (H&E, ×400) showing the malignant cells with mucin within.

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