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A 12 years old boy with carcinoma rectum
C R Debnath1, M R Debnath, M A Gafur
1Department of Hepatology, Mymensingh Medical College, Mymensingh, Bangladesh.
Mymensingh Medical Journal : MMJ
|January 5, 2010
Summary
Pediatric rectal cancer is rare, but should be considered in children with rectal bleeding, abdominal pain, and weight loss. A 12-year-old boy with mucin-secreting adenocarcinoma was diagnosed via digital rectal exam, colonoscopy, and biopsy.
Area of Science:
- Pediatric Oncology
- Gastroenterology
Background:
- Primary gastrointestinal malignancy is rare in children, accounting for about 2% of pediatric neoplasms.
- Colorectal carcinoma is the second most common pediatric gastrointestinal malignancy.
Observation:
- A 12-year-old boy presented with stool incontinence, abdominal pain, and a history of lower abdominal swelling during defecation.
- Initial ultrasonography (USG) of the abdomen did not reveal any abnormalities.
- Symptoms suggested a potential rectal malignancy, necessitating further investigation.
Findings:
- Digital rectal examination (DRE) provided a clinical diagnosis of rectal cancer (CA Rectum).
- Diagnosis was confirmed through colonoscopy and subsequent biopsy.
- The patient was diagnosed with mucin-secreting adenocarcinoma.
Implications:
- Rectal bleeding, abdominal pain, and weight loss in children warrant consideration of rectal carcinoma.
- Early diagnosis through clinical examination and endoscopic procedures is crucial for pediatric rectal cancer.
- This case highlights the importance of DRE in diagnosing pediatric rectal malignancies, even when imaging is inconclusive.
