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Metastatic paediatric colorectal carcinoma
R Woods1, J O Larkin, C Muldoon
1St. James's Hospital, James's St., Dublin 8.
A rare case of rectosigmoid adenocarcinoma in a 16-year-old girl highlights the increasing incidence of colorectal cancer in pediatric patients. Early diagnosis and treatment are crucial for favorable outcomes in young individuals.
Area of Science:
- Oncology
- Pediatric Gastroenterology
Background:
- Colorectal carcinoma is uncommon in children but shows a rising incidence.
- Early detection of pediatric colorectal cancer is vital for improving patient outcomes.
Observation:
- A 16-year-old female presented with abdominal pain, altered bowel habits, weight loss, and hematochezia.
- Rectosigmoid adenocarcinoma was diagnosed, with discovered peritoneal metastases during surgery.
Findings:
- The patient underwent laparoscopic anterior resection and subsequent chemotherapy.
- Ten months post-treatment, she shows no radiological evidence of disease and is in good health.
Implications:
- This case underscores the importance of considering colorectal cancer in the differential diagnosis of pediatric patients with relevant symptoms.
- Advances in treatment, including minimally invasive surgery and chemotherapy, offer positive prognoses even with metastatic disease.
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