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Advanced colonic carcinoma in children
A M Khan1, C M Doig, A P Dickson
1Department of Paediatric Surgery, Booth Hall, Children's Hospital, Blackley, Manchester, UK.
Insights
Colorectal carcinoma in children is rare, leading to diagnostic delays. Early investigation with endoscopy and barium enema is crucial for children with unexplained rectal bleeding and abdominal pain.
Area of Science:
- Pediatric Oncology
- Gastroenterology
Background:
- Colorectal carcinoma is uncommon in pediatric patients.
- Delayed diagnosis in children can occur due to a low index of suspicion.
Purpose of the Study:
- To highlight the importance of considering colorectal carcinoma in children presenting with specific symptoms.
- To emphasize the need for prompt diagnostic workup in suspected cases.
Main Methods:
- Case report of two pediatric patients diagnosed with colorectal carcinoma.
- Review of diagnostic pathways and reasons for delay.
Main Results:
- Two cases of colorectal carcinoma in children were identified.
- Diagnostic delays were attributed to a low index of suspicion for this malignancy in pediatric patients.
Conclusions:
- Any child with unexplained rectal bleeding and abdominal pain warrants thorough investigation.
- Endoscopy and barium enema are recommended diagnostic tools for suspected pediatric colorectal carcinoma.
Abstract:
We report two cases of colorectal carcinoma in children with a delay in diagnosis due to the low index of suspicion of this pathology as the cause of presenting symptoms. We conclude that any child presenting with unexplained rectal bleeding and abdominal pain should be investigated with endoscopy and barium enema.
