Lege Artis Medicinae

[Metastatic tumour with papillary structure in the colon]

CSERNI Gábor, BORI Rita, FEKETE Katalin, OLÁH Csaba, SVÉBIS Mihály, KOVÁCS Katalin, SZŰCS Miklós

APRIL 01, 2009

Lege Artis Medicinae - 2009;19(03)

[INTRODUCTION - Colorectal carcinomas are frequent and their diagnosis and treatment is generally considered a routine task in oncology, but in some cases, using a routine approach may cause unforeseeable difficulties. CASE REPORT - A 72-year-old woman underwent segmental bowel resection of a tumour diagnosed as colon cancer 15 months earlier. The tumour also metastasized in the lungs. Autopsy findings raised a high level of suspicion that her colon tumour was a metastasis from a uterine cervical adenocarcinoma undiscovered before the post mortem examination. CONCLUSION - Occasionally metastases do not arise from the tumour that we are aware of, and metastases may mimic primary tumours. Although the papillary structure of a colon cancer should raise the possibility of a metastatic nature, also primary - at least partially - papillary carcinomas may arise in the large intestines.]

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