A case of signet ring cell carcinoma of the colon in a 14-year-old boy

A 14-year-old boy was diagnosed as having an acute appendicitis. An urgent laparotomy was done on the day of admission. On laparotomy, a markedly swollen appendix and a thickened cecum were found ; an ileocecal resection was performed. On histopathology, mucinous adenocarcinoma-signet ring carcinoma...

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Bibliographic Details
Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 70; no. 8; pp. 2432 - 2435
Main Authors TAKEMOTO, Kenji, MITSUYOSHI, Akira, SHINKURA, Nobuhiko, ZAIMA, Masazumi
Format Journal Article
LanguageJapanese
English
Published Japan Surgical Association 2009
Subjects
children
colon cancer
signet ring cell carcinoma
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Summary:A 14-year-old boy was diagnosed as having an acute appendicitis. An urgent laparotomy was done on the day of admission. On laparotomy, a markedly swollen appendix and a thickened cecum were found ; an ileocecal resection was performed. On histopathology, mucinous adenocarcinoma-signet ring carcinoma without lymph node involvement was diagnosed. Therefore, the patient had a right hemicolectomy with lymph node dissection, which is the standard radical operation for advanced colonic cancer. After the operation, he received adjuvant chemotherapy. However, peritoneal metastasis developed 3 years after the operation. He died of peritonitis carcinomatosa 56 months after the first operation. Signet ring cell carcinoma of the colon in children is very rare. To date, only 16 cases have been reported in Japan.
ISSN:1345-2843
1882-5133
DOI:10.3919/jjsa.70.2432