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CORRESPONDENCE
Year : 2013  |  Volume : 9  |  Issue : 4  |  Page : 746-747

Combined adenocarcinoma-carcinoid tumor of transverse colon


Department of Surgery, I.P.G.M.E & R/S.S.K.M Hospital, Kolkata, West Bengal, India

Correspondence Address:
Prosanta Kumar Bhattacharjee
Bhattacharjee, Flat No 5, 4th Floor, Suryatoran Apartment, 114/A, Barasat Road, Kolkata - 700 110
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.126483

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A 65-year-old male presented with painless hematochezia associated with episodic cramps in upper abdomen, watery diarrhea, and a slowly growing mass in upper abdomen. Examination revealed a firm 6 x 5 cm, intra-abdominal, epigastric mass. Colonoscopy up to 90 cm showed a stenosing, ulcero-proliferative lesion in the transverse colon. No synchronous lesion was detected. Biopsy revealed mucin secreting adenocarcinoma. Exploration showed the growth involving the transverse colon proximal to the splenic flexure with a part of ileum, approximately three feet proximal to ileo-caecal junction, adherent to it. No significant mesenteric lymph node enlargement was evident. The patient underwent resection of the growth along with the segment of adherent ileum. Continuity was re-established by a colo-colic and ileo-ileal anastomosis respectively. Patient received adjuvant chemotherapy. Post-operative histopathology demonstrated a composite histological pattern with an admixture of carcinoid tumor and adenocarcinoma, invasion of ileal serosa and adenocarcinomatous deposits in mesocolic lymph nodes, the tumor staging being (T4, N0, M0/Stage II) for carcinoid and (T4, N1, M0/Stage III) for adenocarcinoma. Patient was followed-up for a year and was doing well without any evidence of recurrence.


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