Abstract
Colonic adenocarcinomas measuring less than 10 mm are rare. Herein, we report a carcinoma measuring 8 mm in diameter associated with subserosal extension through a “locus minoris resistentiae” and metastases to lymph nodes, an association not previously reported. No residual adenomatous tissue was found, suggesting a de novo carcinoma.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Woods A, Sanowski RA, Wadas DD,et al. Eradication of diminutive polyps: a prospective evaluation of bipolar coagulation versus conventional biopsy removal. Gastrointest Endosc 1989;35:536–40.
The role of colonoscopy in the management of patients with colonic polyps. Guidelines for clinical application. Gastrointest Endosc 1988;34(suppl 3):6S–7S.
Muto T, Bussey HJ, Morson BC. The evolution of cancer of the colon and rectum. Cancer 1975; 36:2251–70.
Shimoda T, Ikegami M, Fujisaki J, Matsui T, Aizawa S, Ishikawa E. Early colorectal carcinoma with special reference to its developmentde novo. Cancer 1989;64:1138–46.
Muto T, Kamiya J, Sawada T,et al. Small “flat adenoma” of the large bowel with specific reference to its clinicopathologic features. Dis Colon Rectum 1985;28:847–51.
Shamsuddin AM, Kato Y, Kunishima N, Sugamo H, Trump BF. Carcinomain situ in nonpolypoid mucosa of the large intestine: report of a case with significance in strategies for early detection. Cancer 1985;56:2849–54.
Spjut HJ, Frankel NB, Appel MF. The small carcinoma of the large bowel. Am J Surg Pathol 1979;3;39–46.
Herrera-Ornelas L, Justiniano J, Castillo N, Petrelli NJ, Stulc JP, Mittelman A. Metastases in small lymph nodes from colon cancer. Arch Surg 1987;122: 1253–6.
Herrera L, Martinez H, Petrelli N,et al. Pelvic exenteration with abdominal wall resection for rectal cancer. Surg Rounds 1989;12:64–71.
Wade D, Herrera L, Castillo NB, Petrelli NJ. Metastases to the lymph nodes in epidermoid carcinoma of the anal canal studied by a clearing technique. Surg Gynecol Obstet 1989;169:238–42.
Villarreal JR, Herrera L, Luna P, Vial G, Madrid JR. The impact of lymph node clearing techniques in colorectal cancer (abstract). J Cancer Res Clin Oncol 1990;116(suppl):651.
Lee YS. Early malignant lesions of the colorectum at autopsy. Dis Colon Rectum 1988;31:291–7.
Spratt JS Jr, Ackerman LV. Small primary adenocarcinomas of the colon and rectum. JAMA 1962; 179:337–46.
Strauss RA, Pascal RR. Invasive and metastasizing carcinoma in a small adenomatous polyp of the colon: report of a case with demonstration of a tumor associated antigen. Hum Pathol 1975;6:256–9.
Kudo S, Muto T, Koyama J, Suga J. A case of very early carcinoma of superficial depression type in the transverse colon. Dig Dis Sci 1986;31(suppl 10):260–5.
Urbanski SJ, Haber G, Kortan P, Marcon NE. Small colonic adenomas with adenocarcinoma: a retro-spective analysis. Dis Colon Rectum 1988;31: 58–61.
Jelinek GP, Nava HR, Nime F. Small primaryde novo adenocarcinoma of the colon with mesenteric lymphatic metastasis. J Surg Oncol 1983;23:185–8.
Crawford BE, Stromeyer FW. Small nonpolypoid carcinomas of the large intestine. Cancer 1983;51:1760–3.
Hunt DR, Cherian M. Endoscopic diagnosis of small flat carcinoma of the colon: report of three cases. Dis Colon Rectum 1990;33:143–7.
Author information
Authors and Affiliations
About this article
Cite this article
Herrera, L., Hanna, S., Castillo, N. et al. Primaryde novo adenocarcinoma of the colon measuring 8 mm in diameter with lymph node metastases. Dis Colon Rectum 34, 275–279 (1991). https://doi.org/10.1007/BF02090170
Issue Date:
DOI: https://doi.org/10.1007/BF02090170