Metastatic carcinoma of the colon similar to Crohn's disease: A case report

Kohji Tanakaya, Hitoshi Takeuchi, Yoshimasa Yasui, Akira Takeda, Yuzo Umeda, Ichiro Murakami

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

A 68-year-old Japanese man with a history of linitis plastica carcinoma of the stomach and subsequent gastrectomy 8 years previously presented with lower abdominal pain. Radiological and endoscopic examinations showed multiple submucosal nodular lesions similar to Crohn's disease in the ileocecal area. A firm diagnosis could not be made after initial multiple biopsies. Finally, a submucosal biopsy revealed adenocarcinoma. The ileocecal lesion was diagnosed as a recurrence because of the histological findings, which included mucosal preservation, a similarity with the histologic type of stomach carcinoma, and atypical immunoreactivity for primary colon carcinoma; the lesion was negative for both cytokeratin 7 and cytokeratin 20. In cases where metastatic carcinoma of the colon is suspected, we recommend early consideration of a submucosal biopsy.

Original languageEnglish
Pages (from-to)217-220
Number of pages4
JournalActa medica Okayama
Volume58
Issue number4
Publication statusPublished - Aug 1 2004
Externally publishedYes

Keywords

  • Colon
  • Crohn's disease
  • Metastatic carcinoma

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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    Tanakaya, K., Takeuchi, H., Yasui, Y., Takeda, A., Umeda, Y., & Murakami, I. (2004). Metastatic carcinoma of the colon similar to Crohn's disease: A case report. Acta medica Okayama, 58(4), 217-220.