Advertisement
Brief clinical report| Volume 113, ISSUE 2, P223-226, February 1993

Download started.

Ok

Adenocarcinoma arising within a colonic diverticulum: Report of two cases and review of the literature

  • Kenneth H. Cohn
    Correspondence
    Reprint requests: Kenneth H. Cohn, MD, Department of Surgery (112A), White River Junction VA, White River Junction, VT 05009-0001.
    Affiliations
    From the Departments of Surgery and Pathology, Brooklyn Veterans Administration Medical Center, Brooklyn, N.Y. USA

    From State University of New York Health Science Center at Brooklyn, Brooklyn, N.Y. USA
    Search for articles by this author
  • Jeannine A. Weimar
    Affiliations
    From the Departments of Surgery and Pathology, Brooklyn Veterans Administration Medical Center, Brooklyn, N.Y. USA

    From State University of New York Health Science Center at Brooklyn, Brooklyn, N.Y. USA
    Search for articles by this author
  • Kazem Fani
    Affiliations
    From the Departments of Surgery and Pathology, Brooklyn Veterans Administration Medical Center, Brooklyn, N.Y. USA

    From State University of New York Health Science Center at Brooklyn, Brooklyn, N.Y. USA
    Search for articles by this author
  • Fidelina DeSoto-LaPaix
    Affiliations
    From the Departments of Surgery and Pathology, Brooklyn Veterans Administration Medical Center, Brooklyn, N.Y. USA

    From State University of New York Health Science Center at Brooklyn, Brooklyn, N.Y. USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      The first reported cases of colonic carcinoma arising within a diverticulum are documented. Although colonic diverticulitis and cancer are common diseases in patients over 60 years of age, cancer arising within a diverticulum is rare. Only close histopathologic scrutiny can differentiate inflammatory changes from neoplasia. Because colonic diverticula are characteristically thin-walled, cancers arising within diverticula may easily penetrate the serosa and first be diagnosed at an advanced stage despite their small size.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Wilson LB
        Diverticula of the lower bowel: their development and relationship to carcinoma.
        Ann Surg. 1910; 53: 223-231
        • Ponka JL
        • Fox JD
        • Brush BE
        Coexisting carcinoma and diverticula of the colon.
        Arch Surg. 1959; 31: 373-382
        • Rauch RF
        Coexisting diverticulitis and carcinoma of the colon: comprehensive study of survival.
        Arch Surg. 1956; 73: 823-827
        • Rowe RJ
        • Kollmar GH
        Collective review: diverticulitis of the colon complicated by carcinoma.
        Int Abstr Surg. 1952; 94: 1-9
        • Morton JJ
        Diverticulitis and carcinoma of the sigmoid.
        Surgery. 1952; 32: 765-783
        • Mayo CW
        • Delaney Jr, LT
        Colonic diverticulitis associated with carcinoma: review of fifty cases.
        Arch Surg. 1952; 72: 957-961
        • Tolley III, JA
        Chronic diverticulitis with perforation and associated carcinoma of the cecum.
        Dis Colon Rectum. 1967; 10: 389-393
        • Hines JR
        • Gordon RT
        Adenocarcinoma arising in a diverticular abscess of the colon: report of a case.
        Dis Colon Rectum. 1975; 18: 49-51
        • Dayal Y
        • DeLellis RA
        The gastrointestinal tract.
        in: Cotran RS Kumar V Robbins SL Robbins pathologic basis of disease. WB Saunders, Philadelphia1989: 884
        • Bresalier RS
        • Kim YS
        Malignant neoplasms of the large and small intestine.
        in: Sleisenger MH Fortrans JS Gastrointestinal disease. WB Saunders, Philadelphia1989: 1520-1521
        • Corman ML
        Colon and rectal surgery.
        in: 2nd ed. JB Lippincott, Philadelphia1989: 389