Korean Journal of Gastrointestinal Endoscopy 1992;12(2): 303-306.
방사선성 직장선암 1예 ( A Case of Radiation Induced Rectal Adenocarcinoma )
김혜랑, 송치욱, 이구, 김창덕, 류호상, 현진해 (Hye Rang Kim, Chi Wook Song, Koo Lee, Chang Duck Kim, Ho Sang Ryu and Jin Hai Hyun)
Abstract
The development of colorectai cancer following pelvic irradiation has been a much less common event. A 58-years-old woman presented with tenesmus for 5 months. She had a stage IIb, carcinoma of the cervix for which she underwent radiation therapy in 27 years before. Colonscopic findings revealed polypoid mass and irregular ulceration on the rectum and proctitis associated with stricture that was compatible with her previous history of radiation. Histoyathological examination of the polypectomy specimen disclosed adenocarcinoma. So we reported a case of radiation induced carcinoma of reotum which might be the first case in Korean literature. It therefore, behooves the clinician who follows patients whose carcinoma of the cervix or corpus uteri has been cured by radiation therapy to be vigilant for the subsequent development of colon and rectal cancer.
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