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A 'palliative' resection which became potentially curative.

M G Dube1, J H Scholefield

  • 1Section of Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.

European Journal of Gastroenterology & Hepatology
|July 27, 2000
PubMed
Summary

A woman with rectal cancer was found to have peritoneal lesions during surgery. Histology revealed these were not metastases but schistosomal granulomas, an unusual finding in cancer patients.

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Area of Science:

  • Gastroenterology
  • Parasitology
  • Oncology

Background:

  • Rectal cancer diagnosis and surgical management.
  • Peritoneal metastases as a common sign of advanced cancer.
  • Schistosomiasis as a parasitic disease with varied clinical presentations.

Observation:

  • A patient presented with rectal cancer and apparent peritoneal metastases during surgery.
  • Surgical resection (anterior resection) was performed for the rectal tumor.
  • Histological examination of the resected tumor and apparent metastases was conducted.

Findings:

  • The rectal tumor was a well-differentiated Dukes' B adenocarcinoma, completely excised.
  • The suspected peritoneal metastases were identified as schistosomal granulomas.

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  • A schistosomal granuloma was also found within the rectal tumor itself.

    • Implications:

    • Highlights the importance of comprehensive differential diagnosis in oncology.
    • Suggests a potential, albeit rare, association between schistosomiasis and colorectal cancer presentation.
    • Underscores the need to consider parasitic infections in endemic areas, even with malignant findings.