PDF(Pubmed)
Abstract：
The coexistence of carcinoma of the colon and tuberculosis (TB) represents a rare and intricate clinical scenario. It poses significant challenges in both diagnosis and management. Clinical prediction of this coexistence is challenging since the clinical features of these two conditions are often similar. Likewise, the radiology is not decisive because of the significant overlap in the image findings of carcinoma and TB. A conclusive diagnosis relies on histopathological evidence of both malignancy and TB. Here, we report a case of a 58-year-old female who presented with chronic abdominal pain. Computed tomography showed the presence of a mass in the cecum. Histopathology of tissue retrieved through colonoscopy was indicative of features of both TB and adenocarcinoma of the cecum. Mycobacterium tuberculosis was detected in the tissue by cartridge-based nucleic acid amplification test. The patient was initiated on antitubercular treatment. She underwent surgical resection of the mass and is planned for adjuvant chemotherapy.
摘要：
结肠癌和结核病（TB）的共存代表了一种罕见且复杂的临床情况。它在诊断和管理方面都提出了重大挑战。这种共存的临床预测具有挑战性，因为这两种疾病的临床特征通常相似。同样，放射学不是决定性的,因为癌症和结核病的影像发现存在显著重叠.最终的诊断依赖于恶性肿瘤和TB的组织病理学证据。这里,我们报道了一例58岁女性慢性腹痛的病例.计算机断层扫描显示盲肠中存在肿块。通过结肠镜检查获得的组织的组织病理学表明盲肠的TB和腺癌的特征。通过基于药筒的核酸扩增试验在组织中检测结核分枝杆菌。患者开始接受抗结核治疗。她接受了肿块的手术切除，并计划进行辅助化疗。
