Korean Journal of Gastrointestinal Endoscopy 2000;21(5): 873-876.
방사선 직장염과 동반된 직장선암 1 예 ( A Case of Rectal Adenocarcinoma with Radiation Colitis )
이진헌(Jin Hun Lee),남은숙(Eun Sook Nam),김용범(Yong Bum Kim),김학양(Hak Yang Kim),유재영(Jae Young Yoo)
Abstract
Radiotherapy induced colorectal adenocarcinoma with radiation colitis after radiotherapy has been reported as a rare case. A patient with rectal adenocarcinoma as a late complication of pelvic irradiation for gynecological malignancy is reported. A 55-year-old woman with bloody diarrhea for 6 months was admitted. She received radiation therapy for carcinoma of cervix 21 years ago. Colonoscopic findings revealed a polypoid mass on rectosigmoid colon. Histopathologic examination of the polypectomy specimen disclosed adenocarcinoma. We reported herein a case of rectal adenocarcinoma with radiation colitis. The patient who had received pelvic irradiation should have close follow-up with colonoscopic study for the early detection of colorectal cancer.
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