Case of adenosquamous carcinoma of the ascending colon

J Nippon Med Sch. 2008 Aug;75(4):242-6. doi: 10.1272/jnms.75.242.

Abstract

Adenocarcinoma accounts for most of the malignant tumors originating from the colon, whereas adenosquamous carcinoma is rare, accounting for about 0.1% of all colon cancers. We present herein a case of adenosquamous carcinoma of the ascending colon. The patient was a 94-year-old woman who presented with a chief complaint of lower abdominal pain. A barium enema examination and lower gastrointestinal endoscopy showed a type 3 tumor in the ascending colon, and a biopsy confirmed the diagnosis of adenosquamous carcinoma. Right hemicolectomy was performed, and the tumor was diagnosed as a stage III advanced colon cancer. The patient had postoperative aspiration pneumonia and died 35 days after surgery. A search of Japanese literature over the past 25 years yielded 70 patients with adenosquamous carcinoma of the colon, and the clinicopathological features are discussed herein.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Carcinoma, Adenosquamous / diagnosis*
  • Carcinoma, Adenosquamous / pathology
  • Carcinoma, Adenosquamous / surgery
  • Colectomy
  • Colonic Neoplasms / diagnosis*
  • Colonic Neoplasms / pathology
  • Colonic Neoplasms / surgery
  • Colonoscopy
  • Fatal Outcome
  • Female
  • Humans
  • Neoplasm Staging
  • Pneumonia, Aspiration
  • Postoperative Complications