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A Rare Case of Signet Ring Cell Colon Cancer Presenting as Adult Colorectal Intussusception.
D A Gaskin1, A Reid2, M O'Shea2
1Queen Elizabeth Hospital, Barbados.
Signet ring cell carcinoma of the rectum is a rare cancer, often found in advanced stages. This case highlights an unusual polypoid presentation with early-stage pathology, offering new insights into rectal cancer diagnosis and prognosis.
Area of Science:
- Gastroenterology
- Oncology
- Pathology
Background:
- Signet ring cell carcinoma (SRCC) of the rectum is an uncommon subtype of colorectal cancer.
- SRCC typically presents at advanced stages, posing diagnostic and therapeutic challenges.
Observation:
- A 68-year-old male presented with left lower quadrant pain.
- Imaging and subsequent biopsy revealed a polypoid mass consistent with signet ring cell carcinoma.
- The patient's condition involved rectal intussusception, a rare complication.
Findings:
- The rectal signet ring cell carcinoma exhibited an unusual polypoid growth pattern.
- Pathological staging suggested an apparently early stage of the disease, contrasting with the typical advanced presentation.
- Intussusception was a significant associated finding.
Implications:
- This case expands the understanding of the diverse clinical and pathological presentations of rectal signet ring cell carcinoma.
- Early-stage polypoid SRCC may require tailored diagnostic and treatment strategies.
- Further research into the prognosis and management of early-stage rectal SRCC is warranted.
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