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[Rectal carcinoma in childhood].

W Bätz, S Hofmann-von Kap-herr, G Pistor

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |October 1, 1983
    PubMed
    Summary

    Rectal cancer is rare in children but requires prompt diagnosis. Early detection through simple digital rectal exams significantly improves survival rates for pediatric rectal carcinoma.

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    Area of Science:

    • Pediatric Oncology
    • Surgical Gastroenterology

    Background:

    • Rectal carcinoma is uncommon in pediatric patients.
    • Delayed diagnosis contributes to poor prognoses in childhood cancers.

    Observation:

    • A 12-year-old girl presented with a year-long history of rectal carcinoma, with vaginal infiltration.
    • Surgical intervention involved abdominoperineal amputation of the rectum.
    • A subsequent relaparotomy revealed extensive tumor relapse and liver metastases three years post-surgery.

    Findings:

    • Advanced-stage rectal cancer in children carries a very unfavorable prognosis.
    • Timely diagnosis is critical, as delays are common due to non-specific symptoms.

    Implications:

    • Carcinoma of the rectum should be considered in the differential diagnosis of children with unexplained symptoms like abdominal pain, weight loss, and fecal blood.
    • Digital rectal examination is a crucial diagnostic tool that can improve survival rates in pediatric rectal carcinoma cases.

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