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

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
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  • 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
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  • 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
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  • 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.
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