GENÇ YAŞTA SAPTANMIŞ SPORADİK KOLON KANSERİ: OLGU SUNUMU

Year 2017, Volume: 19 Issue: 2, 114 - 118, 31.08.2017

İshak İkiz , Zülküf Akdemir

https://doi.org/10.24938/kutfd.285870

Abstract

Kolon adenokarsinomu 30 yaş
altında ender rastlanılan bir hastalıktır. Özellikle pediatrik yaş grubunda geç
fark edilmesinden dolayı hastalık ilerleyerek prezente olmaktadır. Kolorektal
kanserler çocuklarda ve adolesanlarda, erişkinlere göre daha kötü prognoza
sahiptir. Tanı anında genç hastalarda yaşlı hastalara göre daha ileri evrede
karşımıza çıkarlar. Bu olgu sunumunda, altı aylık süreçte kilo kaybı, ateş,
bağırsak alışkanlıklarında değişiklik, karın ağrısı şikayetleri bulunan ve
tüberküloz, lenfoma ön tanısıyla tetkik edilen, kolonoskopik biyopsi sonucu
müsinöz adenokarsinom tanısı alan, 19 yaşında ve bilinen risk faktörü olmayan
bir erkek hastanın Bilgisayarlı Tomografi (BT) ve Manyetik Rezonans Görüntüleme
(MRG) bulgularını literatür bilgileri eşliğinde sunmayı amaçladık. Klinik bulguları olan genç hastaların radyolojik
değerlendirilmesinde dikkatli olunmalı ve kolon kanseri akılda tutulmalıdır.

Keywords

Kolorektal kanser, genç hasta, radyolojik bulgular, erken tanı

Sporadic Colon Cancer in a Young Adult: A Case Report

Abstract

Colon adenocarcinoma is rarely seen in patients
under age of 30 and it is presented as advanced disease and diagnosed in the late
stages especially in pediatric age groups. Colorectal
cancers have a worse prognosis in children and adolescents compared to adults.
Younger patients are diagnosed at an advanced stage compared to adult patients.
A 19-year old male patient who was being investigated for the
prediagnosis of tuberculosis and lymphoma for complaints of weight loss, fever,
alteration in bowel functions, abdominal pain during six months period is
presented in this report. The male patient had no known risk factors for colon
cancer and colonoscopic biopsy result revealed mucinous adenocarcinoma. We
aimed to present the findings of magnetic resonance imaging and computed
tomography with review of the literature. Caution should be exercised in the
radiological evaluation of young patients with clinical findings and colon
cancer should be kept in mind.

Keywords

Colorectal cancer, young patients, radiologic findings, early diagnosis

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