Background: Recently, double cancer is no longer uncommon. It is Particularly difficult to determine whether swollen lymph nodes (LNs) indicate malignant lymphoma or metastasis of other carcinoma. We experienced a case of rectal carcinoma complicated with adult T-cell leukemia/lymphoma (ATLL). Case presentation: We encountered a 77-year-old woman who had visited a previous hospital due to bloody stool. Colonoscopy revealed a 10-cm tumor in the lower rectum. Given its pit pattern and surface and vessel pattern, she was suspected of having adenocarcinoma in situ. However, enhanced computed tomography (CT) showed LN swelling around the rectum, and her bilateral inguinal LNs were palpable. Colonoscopy and a biopsy performed at our hospital showed adenoma (Group 3) with no malignant findings. We performed an inguinal LN biopsy and diagnosed her with ATLL. We suspected the rectal mass either be rectal carcinoma or ATLL invasion. We performed chemotherapy for ATLL. The inguinal LNs became no longer palpable, but the rectal mass did not shrink, so we performed operative resection for diagnostic treatment. Thereafter, we diagnosed her with double cancer of rectal adenocarcinoma and ATLL. Conclusion: It is difficult to determine whether swollen LNs indicate malignant lymphoma or metastasis of other carcinoma without performing an LN biopsy. However, a diagnosis of metastasis or non-metastasis does not influence either the staging of the carcinoma or the treatment plan.
| Published in | Journal of Surgery (Volume 9, Issue 4) |
| DOI | 10.11648/j.js.20210904.14 |
| Page(s) | 166-169 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
ATLL, Rectal Adenocarcinoma, Double Cancer, Inguinal Lymph Node Biopsy
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APA Style
Mai Kuwahara, Takashi Goto, Shintaro Yamamoto, Takanobu Sugase, Naoki Inadome, et al. (2021). A Case of Rectal Carcinoma Complicated with Adult T-cell Leukemia/Lymphoma Diagnosed by an Inguinal Lymph Node Biopsy. Journal of Surgery, 9(4), 166-169. https://doi.org/10.11648/j.js.20210904.14
ACS Style
Mai Kuwahara; Takashi Goto; Shintaro Yamamoto; Takanobu Sugase; Naoki Inadome, et al. A Case of Rectal Carcinoma Complicated with Adult T-cell Leukemia/Lymphoma Diagnosed by an Inguinal Lymph Node Biopsy. J. Surg. 2021, 9(4), 166-169. doi: 10.11648/j.js.20210904.14
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Download@article{10.11648/j.js.20210904.14,
author = {Mai Kuwahara and Takashi Goto and Shintaro Yamamoto and Takanobu Sugase and Naoki Inadome and Hiroshi Hojo and Kazuhiko Ibusuki and Shoji Taniguchi and Hiroshi Kawano and Hiroshi Tai and Keiko Umekita and Hiroyuki Tanaka and Rintaro Koga},
title = {A Case of Rectal Carcinoma Complicated with Adult T-cell Leukemia/Lymphoma Diagnosed by an Inguinal Lymph Node Biopsy},
journal = {Journal of Surgery},
volume = {9},
number = {4},
pages = {166-169},
doi = {10.11648/j.js.20210904.14},
url = {https://doi.org/10.11648/j.js.20210904.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210904.14},
abstract = {Background: Recently, double cancer is no longer uncommon. It is Particularly difficult to determine whether swollen lymph nodes (LNs) indicate malignant lymphoma or metastasis of other carcinoma. We experienced a case of rectal carcinoma complicated with adult T-cell leukemia/lymphoma (ATLL). Case presentation: We encountered a 77-year-old woman who had visited a previous hospital due to bloody stool. Colonoscopy revealed a 10-cm tumor in the lower rectum. Given its pit pattern and surface and vessel pattern, she was suspected of having adenocarcinoma in situ. However, enhanced computed tomography (CT) showed LN swelling around the rectum, and her bilateral inguinal LNs were palpable. Colonoscopy and a biopsy performed at our hospital showed adenoma (Group 3) with no malignant findings. We performed an inguinal LN biopsy and diagnosed her with ATLL. We suspected the rectal mass either be rectal carcinoma or ATLL invasion. We performed chemotherapy for ATLL. The inguinal LNs became no longer palpable, but the rectal mass did not shrink, so we performed operative resection for diagnostic treatment. Thereafter, we diagnosed her with double cancer of rectal adenocarcinoma and ATLL. Conclusion: It is difficult to determine whether swollen LNs indicate malignant lymphoma or metastasis of other carcinoma without performing an LN biopsy. However, a diagnosis of metastasis or non-metastasis does not influence either the staging of the carcinoma or the treatment plan.},
year = {2021}
}
TY - JOUR T1 - A Case of Rectal Carcinoma Complicated with Adult T-cell Leukemia/Lymphoma Diagnosed by an Inguinal Lymph Node Biopsy AU - Mai Kuwahara AU - Takashi Goto AU - Shintaro Yamamoto AU - Takanobu Sugase AU - Naoki Inadome AU - Hiroshi Hojo AU - Kazuhiko Ibusuki AU - Shoji Taniguchi AU - Hiroshi Kawano AU - Hiroshi Tai AU - Keiko Umekita AU - Hiroyuki Tanaka AU - Rintaro Koga Y1 - 2021/06/15 PY - 2021 N1 - https://doi.org/10.11648/j.js.20210904.14 DO - 10.11648/j.js.20210904.14 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 166 EP - 169 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20210904.14 AB - Background: Recently, double cancer is no longer uncommon. It is Particularly difficult to determine whether swollen lymph nodes (LNs) indicate malignant lymphoma or metastasis of other carcinoma. We experienced a case of rectal carcinoma complicated with adult T-cell leukemia/lymphoma (ATLL). Case presentation: We encountered a 77-year-old woman who had visited a previous hospital due to bloody stool. Colonoscopy revealed a 10-cm tumor in the lower rectum. Given its pit pattern and surface and vessel pattern, she was suspected of having adenocarcinoma in situ. However, enhanced computed tomography (CT) showed LN swelling around the rectum, and her bilateral inguinal LNs were palpable. Colonoscopy and a biopsy performed at our hospital showed adenoma (Group 3) with no malignant findings. We performed an inguinal LN biopsy and diagnosed her with ATLL. We suspected the rectal mass either be rectal carcinoma or ATLL invasion. We performed chemotherapy for ATLL. The inguinal LNs became no longer palpable, but the rectal mass did not shrink, so we performed operative resection for diagnostic treatment. Thereafter, we diagnosed her with double cancer of rectal adenocarcinoma and ATLL. Conclusion: It is difficult to determine whether swollen LNs indicate malignant lymphoma or metastasis of other carcinoma without performing an LN biopsy. However, a diagnosis of metastasis or non-metastasis does not influence either the staging of the carcinoma or the treatment plan. VL - 9 IS - 4 ER -
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