GENÇ YAŞTA SAPTANMIŞ SPORADİK KOLON KANSERİ: OLGU SUNUMU

Kolon adenokarsinomu 30 yaş altında ender rastlanılan bir hastalıktır. Özellikle pediatrik yaş grubunda geç fark edilmesinden dolayı hastalık ilerleyerek prezente olmaktadır. Kolorektal kanserler çocuklarda ve adolesanlarda, erişkinlere göre daha kötü prognoza sahiptir. Tanı anında genç hastalarda yaşlı hastalara göre daha ileri evrede karşımıza çıkarlar. Bu olgu sunumunda, altı aylık süreçte kilo kaybı, ateş, bağırsak alışkanlıklarında değişiklik, karın ağrısı şikayetleri bulunan ve tüberküloz, lenfoma ön tanısıyla tetkik edilen, kolonoskopik biyopsi sonucu müsinöz adenokarsinom tanısı alan, 19 yaşında ve bilinen risk faktörü olmayan bir erkek hastanın Bilgisayarlı Tomografi (BT) ve Manyetik Rezonans Görüntüleme (MRG) bulgularını literatür bilgileri eşliğinde sunmayı amaçladık. Klinik bulguları olan genç hastaların radyolojik değerlendirilmesinde dikkatli olunmalı ve kolon kanseri akılda tutulmalıdır.

Anahtar Kelimeler:

Kolorektal kanser, genç hasta, radyolojik bulgular, erken tanı

Sporadic Colon Cancer in a Young Adult: A Case Report

Colon adenocarcinoma is rarely seen in patients under age of 30 and it is presented as advanced disease and diagnosed in the late stages especially in pediatric age groups. Colorectal cancers have a worse prognosis in children and adolescents compared to adults. Younger patients are diagnosed at an advanced stage compared to adult patients. A 19-year old male patient who was being investigated for the prediagnosis of tuberculosis and lymphoma for complaints of weight loss, fever, alteration in bowel functions, abdominal pain during six months period is presented in this report. The male patient had no known risk factors for colon cancer and colonoscopic biopsy result revealed mucinous adenocarcinoma. We aimed to present the findings of magnetic resonance imaging and computed tomography with review of the literature. Caution should be exercised in the radiological evaluation of young patients with clinical findings and colon cancer should be kept in mind.

Keywords:

Colorectal cancer, young patients, radiologic findings, early diagnosis,

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