Abstract
This article presents a case of advanced cancer of the transverse colon seen in an 18-year-old woman who underwent a potentially curative resection. The histological type of cancer was well-differentiated adenocarcinoma. After reviewing the clinicopathological features of 110 colorectal cancer cases in patients younger than 20 years of age compiled from the Japanese literature, the high incidence of poorly differentiated carcinoma (51.5% for poorly differentiated adeno-carcinoma, signet-ring cell carcinoma, mucinous carcinoma, and undifferentiated carcinoma) and of more advanced stages (67.1% for clinical stages IIIb and IV) were found to be characteristic for patients with colorectal cancer younger than 20 years of age. The presence of more advanced disease and the high incidence of poorly differentiated carcinoma thus seem to be related to the low postoperative survival rates. The 2-year survival rate was 19.8% and the 5-year survival rate was 8.8% in colorectal cancer patients younger than 20 years of age.
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References
Kern WH, White WC (1958) Adenocarcinoma of the colon in a 9-month-old infant. Cancer 11:855–857
Middelkamp JN, Haffner H (1963) Carcinoma of the colon in children. Pediatrics 32:558–571
Andersson A, Bergdahl L (1976) Carcinoma of the colon in children: A report of six new cases and a review of the literature. J Pediatr Surg 6:967–971
Japanese Research Society for Cancer of the Colon and Rectum (1994) General rules for clinical and pathological studies on cancer of the colon, rectum and anus, 5th edn (in Japanese). Kanehara, Tokyo, pp 5–35
Ohta M, Iwafuchi M, Kuwayama T, Siraiwa K, Ohsawa Y, Soga J, Muto T (1975) Carcinoma of the colon in a child (in Japanese with English abstract). Nihon Shouni Geka Gakkai Zasshi (J Jpn Soc Pediatr Surg) 10:787–793
Yamamoto A, Higo S, Hirano M, Takeuchi T, Fujino S, Sono J, Taniguchi T, Fujimura M, Ando F, Nakashima M, Mori A, Okada Y (1981) One case report of rectal cancer in a 19-year-old and a review of the young cases reported in Japan (in Japanese). Nihon Shoukaki Geka Gakkai Zasshi (Jpn J Gastroenterol Surg) 14:1108–1112
Hamazaki M, Kono S, Miyama J, Isihara A (1987) Signet ring cell carcinoma in a polyp. Acta Pathol Jpn 37:1679–1684
Satomi A, Ishida K, Hatao Y, Takahashi K (1987) Carcinoma of the rectum in children (in Japanese with English abstract). Nihon Shouni Geka Gakkai Zasshi (J Jpn Soc Pediatr Surg) 23:908–913
Tomoda H, Furusawa M, Hayashi I (1989) A case of early colon cancer in a child (in Japanese). Geka (Surgery) 51:529–532
Kodera Y, Suenaga H, Terashima Y, Okuda T, Torii A, Negita M, Taniguchi K, Yogo H (1989) Carcinoma of the colon in an 18-year-old male (in Japanese). Nihon Shoukaki Geka Gakkai Zasshi (Jpn J Gastroenterol Surg) 22:875–878
Sato K, Goto T, Fukumoto S, Marukawa O, Nishino H, Isoda K, Okajima K, Hara H, Watanabe I (1989) A case report of juvenile colon cancer (in Japanese with English abstract). Nihon Rinshou Geka Igakukai Zasshi (J Jpn Soc Clin Surg) 50:136–142
Nabeshima S, Ooeda Y, Yamamoto N, Suzuki M, Murakami S (1990) Carcinoma of the colon in children: Report of a case and review of the Japanese literature (in Japanese with English abstract). Nihon Daichou Koumonbyou Gakkai Zasshi (J Jpn Soc Coloproctol) 43:626–630
Tsuji H, Nezu R, Fukuzawa M, Okumura K, Fukui Y, Kamata S, Okada A (1991) A case of double colorectal carcinomas in childhood (in Japanese with English abstract). Nihon Shouni Geka Gakkai Zasshi (J Jpn Soc Pediatr Surg) 27:104–109
Yamanaka T, Tomoda H, Furusawa M, Hayashi I (1992) A case of colon cancer in a 19-year-old female (in Japanese). Geka (Surgery) 54:420–422
Tayama K, Bekki F, Ogata M, Koga T, Kakegawa T (1993) Colon cancer in a young adult (in Japanese with English abstract). Nihon Rinshou Geka Igakukai Zasshi (J Jpn Soc Clin Surg) 54:1308–1311
Iwata G, Nakanishi M, Nonaka M, Osawa J, Shinoda M (1993) A case report of juvenile colon cancer (in Japanese with English abstract). Nihon Rinshou Geka Igakukai Zasshi (J Jpn Soc Clin Surg) 54:1304–1307
Yamamoto K, Tanaka T, Kuno K, Amoh Y, Takahashi Y, Murakami H (1994) Carcinoma of the colon in children: Case report and review of the Japanese literature. J Gastroenterol 29:647–652
Lynch HT, William K, William AA, Lynch JF, Biscone K, Schuelke GS, Sandberg AA, Lipkin M, Deschner EE, Mikol YB, Elston RC, Bailey-Wilson JE, Danes BS (1985) Hereditary nonpolyposis colorectal cancer (Lynch syndrome I and II). Cancer 56:934–938
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Yamamoto, T., Matsumoto, K. & Iriyama, K. Colorectal cancer in a patient younger than 20 years of age: Report of a case and a review of the Japanese literature. Surg Today 26, 810–813 (1996). https://doi.org/10.1007/BF00311642
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DOI: https://doi.org/10.1007/BF00311642