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Surgery Today

, Volume 33, Issue 7, pp 545–549 | Cite as

Carcinosarcoma of the Rectosigmoid Colon: Report of a Case

  • Hideyuki Ishida
  • Tomonori Ohsawa
  • Hiroshi Nakada
  • Daijo Hashimoto
  • Takeshi Ohkubo
  • Akiko Adachi
  • Shinji Itoyama
  • 53 Downloads

Abstract

We report an unusual case of carcinosarcoma of the colon. An 80-year-old woman was admitted to our hospital with lower abdominal pain. Computed tomography showed a large pelvic mass, 18 cm in maximal diameter, and barium enema and colonoscopy both showed a type-2 tumor in the sigmoid colon. We performed Hartmann's procedure with resection of the ileocolic segment. Immunohistochemical stains of the resected specimen revealed that most of the tumor consisted of spindle cell sarcoma with neural and muscle differentiation, while only the superficial area of an ulcerated lesion contained adenocarcinoma positive for carcinoembryonic antigen. The patient died of a fast-growing recurrent pelvic tumor 6 months postoperatively. Our experience of this case and our review of eight other cases in the English literature indicate that wide resection provides the best chance of cure, but careful postoperative follow-up is essential.

Key words Carcinosarcoma Colon 

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Copyright information

© Springer-Verlag Tokyo 2003

Authors and Affiliations

  • Hideyuki Ishida
    • 1
  • Tomonori Ohsawa
    • 1
  • Hiroshi Nakada
    • 1
  • Daijo Hashimoto
    • 1
  • Takeshi Ohkubo
    • 2
  • Akiko Adachi
    • 3
  • Shinji Itoyama
    • 3
  1. 1.Department of Surgery, Saitama Medical Center, Saitama Medical School, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanJP
  2. 2.Department of Gynecology, Saitama Medical Center, Saitama Medical School, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanJP
  3. 3.Department of Pathology, Saitama Medical Center, Saitama Medical School, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanJP

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