Primary linitis plastica of the entire colon in a background of ulcerative colitis: a case report

World Journal of Surgical Oncology

Stanley M Feinberg¹  Maja Barnard³  Adina E Feinberg² 

[1] Division of General Surgery, North York General Hospital, Toronto M2K 1E1, ON, Canada;Department of Surgery, University of Toronto, Toronto, ON, Canada;Department of Laboratory Medicine, North York General Hospital, Toronto M2K 1E1, ON, Canada

关键词: Signet ring cell;    Ulcerative colitis;    Colorectal cancer;    Linitis plastica;   

Others  :  1146431
DOI  :  10.1186/s12957-014-0425-1

 received in 2014-08-21, accepted in 2014-12-23,  发布年份 2015

【 摘 要 】

We present a case report of colorectal cancer arising in a young patient with ulcerative colitis of only 6 years duration. The pathology was unusual with extensive pancolonic involvement in a lintitis plastica fashion. This case represents a clinical example where colon cancer occurred prior to the onset of recommended screening according to guidelines regarding patients with ulcerative colitis.

【 授权许可】

   
2015 Feinberg et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】

• [1]Eaden JA, Abrams KR, Mayberry JF. The risk of colorectal cancer in ulcerative colitis: a meta-analysis. Gut. 2001; 48:526-35.
• [2]Messerini L, Palomba A, Zampi G. Primary signet-ring cell carcinoma of the colon and rectum. Dis Colon Rectum. 1995; 38:1189-92.
• [3]Park JY, Han DS, Lee HL, Kim JB, Sohn JH, Choi HS et al.. A case of linitis plastica involving the entire colon, ileum, and appendix. Korean J Gastroenterol. 2003; 42:237-41.
• [4]Wrobleski CS, Li J, Floch C, Bush M, Floch MH. Linitis plastica of the colon in ulcerative colitis. Gastroenterologist. 1997; 5:247-51.
• [5]Farraye FA, Odze RD, Eaden J, Itzkowitz SH. AGA Medical Position Statement on the diagnosis and management of colorectal neoplasia in inflammatory bowel disease. Gastroenterology. 2012; 138:738-745.
• [6]Kornbluth A, Sachar DB. Practice Parameters Committee of the American College of Gastroenterology. Ulcerative colitis practice guidelines in adults: American College Of Gastroenterology, Practice Parameters Committee. Am J Gastroenterol. 2010; 105:501-23. quiz 524
• [7]Cairns SR, Scholefield JH, Steele RJ, Dunlop MG, Thomas HJ, Evans GD et al.. Guidelines for colorectal cancer screening and surveillance in moderate and high risk groups (update from 2002). Gut. 2010; 59:666-89.
• [8]Lutgens MWMD, Vleggaar FP, Schipper MEI, Stockkers PC, Van der Woude CJ, Hommes DW et al.. High frequency of early colorectal cancer in inflammatory bowel disease. Gut. 2008; 57:1246-51.
• [9]Rutter M, Saunders B, Wilkinson K, Rumbles S, Schofield G, Kamm M et al.. Severity of inflammation is a risk factor for colorectal neoplasia in ulcerative colitis. Gastroenterology. 2004; 126:451-9.
• [10]Velayos FS, Loftus EV, Jess T, Harmsen WS, Bida J, Zinsmeister AR et al.. Predictive and protective factors associated with colorectal cancer in ulcerative colitis: a case–control study. Gastroenterology. 2006; 130:1941-9.