Summary
The case of a 66 year old woman who died of metastatic adenocarcinoma is reported. The origin of the tumor was found at autopsy to be a focal carcinoma in the head of a small pedunculated tubular adenoma at the recto-sigmoidal junction. Nine similar case reports from the literature are briefly presented.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bigelow B, Winkelman J (1964) Polyps of the colon and rectum. A review of 12 years' experience and report of an unusual case.Cancer 17:1177–1186
Coutsoftides T, Lavery I, Benjamin SP, Sivac MV Jr (1979) Malignant polyps of the colon and rectum: A clinico-pathologic study. Dis Colon Rectum 22:82–86
Eder M (1978) Pathologie der Kolonpolypen. Schweiz Med Wochenschr 108:1056–1061
Enterline HT, Evans GW, Mercado-Lugo R, Miller L, Fitts WT Jr (1962) Malignant potential of adenomas of colon and rectum. J Am Med Ass 179:322–330
Fenoglio CM, Kaye GI, Lane N (1973) Distribution of human colonic lymphatics in normal hyperplastic and adenomatous tissue. Its relationship to metastasis from small carcinomas in pedunculated adenomas, with two case reports. Gastroenterology 64:51–66
Grinnel RS, Lane N (1958) Benign and malignant adenomatous polyps and papillary adenomas of the colon and rectum. An analysis of 1,856 tumours in 1,335 patients. International abstracts of surgery 106:519–538
Helwig EB (1959) Adenomas and pathogenesis of cancer of colon and rectum. Dis Colon Rectum 2:5–17
Kaneko M (1972) On pedunculated adenomatous polyps of colon and rectum with particular reference to their malignant potential. Mt Sinai J Med (NY) 39:103–111
Kodaira S, Teramoto T, Ono S, Takizawa K, Katsumata T, Abo O (1981) Lymph node metastases from carcinomas developing in pedunculated and semipedunculated colorectal adenomas. Aust NZJ Surg 51:429–433
Kraus FT (1965) Pedunculated adenomatous polyp with carcinoma in the tip and metastasis to lymph nodes. Dis Colon Rectum 8:283–286
Lane N, Kaye GI (1967) Pedunculated adenomatous polyp of the colon with carcinoma, lymph node metastasis and suture line recurrence (Report of a case and discussion of terminology problems) Am J Clin Pathol 48:170–182
Manheimer LH (1965) Metastasis to the liver from a colonic polyp. N Engl J Med 272:145–146
Morson BC, Dawson JMP (1979) Gastrointestinal Pathology. Second edition. Blackwell scientific publications. Oxford, London, Edinburgh, Melbourne
Muto T, Bussey HJR, Morson BC (1975) The evolution of cancer of the colon and rectum. Cancer 36:2251–2270
Muto T, Kamiya J, Kusama S, Umeda M (1982) Rapid evolution of colon cancer from a colonic polyp, report of two cases. Am J Proctol Gastroenterol Colon Rectal Surg 33:15, 22–24
Palacios RL, Wellmann KF (1966) Adenomatous polyp of colon with adenocarcinoma and pulmonary metastases. Gastroenterology 51:82–86
Rosai J (1981) Ackerman's Surgical Pathology, Vol 1, 6th edi. The CV Mosby Company, St. Louis, Toronto, London
Shatney CH, Lober PH, Gilbertsen VA, Sosin H (1974) The treatment of pedunculated adenomatous colo-rectal polyps with focal cancer. Surg Gynecol Obstet 139:845–850
Shatney CH, Lober PH, Sosin H (1975) Metastasis from a pedunculated adenomatous colonic polyp with focally invasive carcinoma. Dis Colon Rectum 18:67–71
Shinya H, Wolff WI (1979) Morphology, anatomical distribution and cancer potential of colonic polyps. An analysis of 7000 polyps endoscopically removed. Ann Surg 190:679–683
Silverberg SG (1970) Focally malignant adenomatous polyps of the colon and rectum. Surg Gynecol Obstet 131:103–114
Spratt JS, Ackermann LV, Moyer CA (1958) Relationship of polyps of colon to colonic cancer. Ann Surg 148:682–698
Strauss RA, Pascal RR (1975) 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 6:256–259
Sulser H, Blöchlinger R, Nüesch HJ, Deyhle P (1979) Klinische Pathologie der Dickdarm-schleimhautpolypen. Schweiz Med Wochenschr 109:1046–1053
Veidenheimer MC, Connolly JM, Legg MA (1970) Carcinoma in colonic and rectal polyps. Dis Colon Rectum 13:194–200
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Stamm, B., Ristivojevic, B. Small pedunculated tubular adenoma of the colon with carcinoma restricted to the head, invasion of lymphatics and widespread metastases. Vichows Archiv A Pathol Anat 402, 83–89 (1983). https://doi.org/10.1007/BF00695051
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00695051