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Indian Journal of Medical and Paediatric Oncology
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Year : 2003  |  Volume : 24  |  Issue : 1  |  Page : 37-39

Adenocarcinoma sigmoid colon in a 11 year old male child : a case report

Department of Paediatric Surgery, Gandhi Medical College, Bhopal, M.P. 462001 (INDIA)

Correspondence Address:
PK Jain
Department of Paediatric Surgery, Gandhi Medical College, Bhopal, M.P. 462001 (INDIA)

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Source of Support: None, Conflict of Interest: None

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Colorectal cancer is rare in children, with an incidence of 1.3 to 2/million in the U.S.A. Presentation is usually vague & the diagnosis is delayed for few weeks to several months. The prognosis of colorectal carcinoma in children is extremely poor as compared to adults. We describe here an 11 years old male child who presented with features of intestinal obstruction. On exploration, there was a stricture at sigmoid colon, extensive intra-abdominal tumour & dense adhesions of tumour to left side of iliac vessels. Colo-colic anastomosis was done to bye pass the obstruction. One & half months after initial laparotomy, he came with intestinal obstruction again. On second exploration, adbomen was found to be plastered with dense adhesions, so loop of terminal ileum was brought out as loop ileostomy. The histopathological report was mucinous adenocarcinoma of colon with metastasis in omentum & mesenteric lymph nodes. Response to chemotherapy was poor & finally he died of progressive disease, eight months after diagnosis. The intention of presentation here is its rarity in children.

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