Rectal adenocarcinoma in an 9 year old girl. A case report

Hedayatollah Nahvi, Sara Memarian, Mohammadtaghi Majnoon, Behdad Gharib, Mohammad Es-hagh Rozeh, Mojtaba Gorji, Somayeh Jafrasteh, Zeinab Najafi, Rahman Khosravi

Abstract


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Rectal adenocarcinoma is rare in children. The patient described here is a 9-year-old girl who presented with rectorrhagia. Her problem started 3 months ago and she had been treated for infectious diarrhea. A colonoscopy was performed 3 months after the onset of symptoms and a non-pedunculated polyp in the rectum was noted and resected. After the colonoscopy signs and symptoms of peritonitis developed and in laparotomy a rectal perforation was noted and a biopsy from rectal mucosa was taken. The result of biopsy was adenocarcinoma. Then a low anterior resection of rectum with protective ileostomy followed by adjuvant chemotherapy was performed. During a 15 month follow-up the patient had no problems and no clinical, radiological or laboratory signs or symptoms of recurrence was found. However rectal adenocarcinoma is rare but it should be considered in the differential
diagnosis of intestinal problems.


Keywords


Rectal adenocarcinoma; Adenocarcinoma of colon; Colorectal cancer in children; Nonpedunculated polyp

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References


Afroza A, Hasan S, Rukunuzzaman M, et al: Carcinoma-rectum in an 11 years old boy. Mymensingh Med J 2007;16 (2 Suppl):S70-72.

Saab R, Furman WL: Epidemiology and management options for colorectal carcinoma in children. Paediatr Drugs 2008;10:177-92.

Sharma MS, Kumar S, Agarwal N: Childhood colorectal carcinoma: a case series. Afr J Paediatr Surg 2009 Jan-Jun;6(1):65-7.

R Woods, JO Larkin, C Muldoon, et al: Metastatic Paediatric Colorectal Carcinoma. Irish medical journal 2012;105(3):88-9.

Pandey A, Gangopadhyay AN, Sharma SP, et al: Pediatric carcinoma of rectum – Varanasi experience. Indian Journal of Cancer 2008;45(3):119.

King-Jun Koh, Lung-Huang Lin, Shih-Hung Huang, et al: CARE—Pediatric Colon Adenocarcinoma. Medicine 2015;94(6).

SeungYeon Noh, Seung Young Oh, Soo-Hong Kim, et al: Fifteen-year-old colon cancer patient with a 10-year history of ulcerative colitis. World J Gastroenterol 2013;19(15):2437-2440.

Raul S. Gonzalez, Sarah C. Shulman, Howard M. Katzenstein, et al: Colorectal Adenocarcinoma: A Pediatric Case Review with a Focus on Mismatch Repair Gene Mutations and E-Cadherin Expression. Pediatric and Developmental Pathology 2012;15(3):192-198.

WARREN HYER: Pediatric Polyposis Syndromes in Robert Wyllie, Jeffrey S. Hyams, Marsha Kay, et al (eds): Pediatric Gastrointestinal and Liver Disease, 5th Edition. United States of America: 2016 by Elsevier, Inc.: pp 496-507.

Zev H. Davidovics: Neoplasms of the Gastrointestinal Tract In Robert Wyllie, Jeffrey S. Hyams, Marsha Kay, et al (eds): Pediatric Gastrointestinal and Liver Disease, 5th Edition. United States of America: 2016 by Elsevier, Inc.: pp 576-578




DOI: https://doi.org/10.22037/irjps.v4i2.17970

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