Malignant colorectal polyposis: about a case
Abstract
Introduction: Polyps are benign excrescences of the colonic mucosa and other parts of the gastrointestinal tract that can be sessile or pedunculated according to their forms and according to their single or multiple numbers. They occur at any age, but are more frequent in childhood.
Objective: To present the case of a patient diagnosed and treated with a malignant colonic polyposis.
Case report: White, 25-year-old female patient, with no previous health history, attended the Coloproctology consultation of the María Curie Oncology Teaching Hospital in January 2023. On interrogation, she manifested abdominal pain located towards the flank region and left iliac fossa of great intensity, intermittent and only relieved with the administration of analgesics in high doses and radiated asymmetrically to other regions of the abdomen and presence of other general symptoms such as: mucus diarrhea, weight loss and anorexia, so it was decided to indicate complementary studies and treatment to the patient.
Conclusions: The result of the histological study was neoplastic polyps of the adenomatous type, at the level of the rectum under a malignant tumor of the well-differentiated, ulcerated adenocarcinoma type. Now with favorable evolution and improvement of her symptoms.
DeCS: COLONIC POLYPS; ADENOMATOUS POLYPS/diagnosis; ADENOMATOUS POLYPS/surgery; COLORECTAL NEOPLASMS; ADENOMATOUS POLYPS/radiotherapy.
Downloads
References
1. Aghabozorgi AS, Bahreyni A, Soleimani A, Bahrami A, Khazaei M, Ferns GA, et al. Role of adenomatous polyposis coli (APC) gene mutations in the pathogenesis of colorectal cancer; current status and perspectives. Biochimie [Internet]. 2019 Feb [citado 13 Ago 2023];157:64-71. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30414835/
2. Caballero Boza C, Avalos García R, Vázquez Caballero AY. Caracterización clínica, endoscópica e histológica de los pólipos colorrectales en pacientes de edades pediátricas. Matanzas. Rev méd electrón [Internet]. 2020 [citado 13 Ago 2023];42(4). Disponible en: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/3382/html_780
3. Resumil G, Oquendo R, Villafane V, Flores M, Navacchia D, Quintna C. Poliposis Adenomatosa Familiar: reporte de 2 casos y actualización. Revista Pedriátrica Elizalde [Internet]. 2013 Jun [citado 22 Mar 2022];4(1):1-60. Disponible en: https://apelizalde.org/revistas/2013-1-ARTICULOS/RE_2013_1_RC_1.pdf
4. Half E, Bercovich D, Rozen P. Familial adenomatous polyposis. Orphanet J Rare Dis [Internet]. 2009 Oct [citado 13 Ago 2023];4:22. Disponible en: https://pubmed.ncbi.nlm.nih.gov/19822006/
5. Schwartz S, Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, et al. Schwartz Principios De Cirugía. 10th ed. México: McGraw-Hill Interamericana Editores, S.A de C.V; 2015.
6. Nacif PA, Caballero G, Gutiérrez C, Méndez V. Poliposis adenomatosa familiar: Presentación de dos casos. Arch Pediatr Urug [Internet]. 2006 [citado 22 Mar 2022];77(3):262-6. Disponible en: http://www.scielo.edu.uy/pdf/adp/v77n3/v77n3a09.pdf
7. González Vázquez JM, Yegros Ortiz CD, Cabrera Maciel RE, Ferreira Bogado M, Aveiro-Róbalo TR. Características clínicas, demográficas e histopatológicas de pacientes postoperados de cáncer colorrectal internados en el Servicio de Coloproctología del Hospital Nacional, Itauguá-Paraguay: periodo 2015 y 2018. Rev Nac (Itauguá) [Internet]. 2020 Dic [citado 22 Mar 2022];12(2). Disponible en: http://scielo.iics.una.py/scielo.php?script=sci_arttext&pid=S2072-81742020000200073
8. Nuñez-Pacheco RO, Yan-Quiroz EF, Villarreal-González MN. Proctocolectomía total radical laparoscópica por poliposis familiar adenomatosa colorrectal asociada a cáncer de colon izquierdo. Rev cir [Internet]. 2022 Jun [citado 22 Mar 2022];74(3). Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S2452-45492022000300295
9. Camacho-Nájera M, Armienta-Sarabia R, Hernández-Gómez ME, Medel-Infante M, Beltrán-Ortega C, Tapia-Morales EA. Detección de cáncer colorrectal por colonoscopia: Resultados de 1 año de reportes histopatológicos. Endoscopia [Internet]. 2020 [citado 22 Mar 2022];32(Suppl 2). Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-64832020000600110
10. Ramirez-Quesada W, Vargas-Madrigal J, Alfaro-Murillo O, Umaña-Solís E, Campos-Goussen C, Alvarado-Salazar M, et al. Indicadores de calidad para la realización de colonoscopia. Acta méd costarric [Internet]. 2019 Ene-Mar [citado 22 Mar 2022];61(1). Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022019000100037
11. Sánchez Rodríguez JJ, Er Raoud MY, Utrillas Martínez AC, García Domínguez M. Metástasis cutánea de cáncer de colon: a propósito de un caso. Revista Atalaya Medica [Internet]. 2022 [citado 22 Mar 2022];24. Disponible en: https://dialnet.unirioja.es/descarga/articulo/8541454.pdf
12. Duval Chacón AJ, Fernández Bernal JA. Poliposis adenomatosa familiar y prevención del cáncer colorrectal: reporte de un caso. Rev Colomb Gastroenterol [Internet]. 2019 [citado 30 Ago 2023];34(2). Disponible en: https://revistagastrocol.com/index.php/rcg/article/view/239/644
Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/
22 julio 2025