Primary linitis plastica of the descending colon: A case report |
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Authors: | Hiroyuki Yamashita MD Katsuhiko Kawakami Eiichirou Murakami Syoji Kuroki |
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Institution: | (1) The First Department of Surgery, Kyushu University Faculty of Medicine, Maedashi 3-1-1, Fukuoka, 812 Fukuoka, Japan;(2) Division of Surgery, Osaka Kaisei Hospital, Osaka, Japan |
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Abstract: | A rare case of primary linitis plastica carcinoma of the colon seen in a 44 year old Japanese man is described herein. The
patient had a complete obstruction of the descending colon and was treated with a loop colostomy followed shortly afterward
by a left hemicolectomy. At the time of the second operation, the entire thickness of the colonic wall was found to be infiltrated
by cancer cells, however, the other intraabdominal organs were free of cancerous involvement. The histopathological diagnosis
made at this time was primary linitis plastica carcinoma of the descending colon. Nine months later, the patient developed
an intestinal obstruction and relaparotomy revealed diffuse peritoneal dissemination. Two years after the first operation,
upper GI films and a gastrofiberscopic examination revealed gastric involvement. The patient died 28 months after his initial
operation, and autopsy revealed widespread metastases in the peritoneal surface, paraaortic lymph nodes, small intestine,
remaining colon and stomach. |
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Keywords: | linitis plastica primary colon |
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