Rectal Polyp may turn out to be Rectal Adenocarcinoma—Case Report Emphasize Histopathology as a Routine Measure

Abstract

Abstract

Adenocarcinoma is a commonest type of colorectal cancer. For the primary care physicians, a review of the pathophysiology and clinical presentation are important in its diagnosis. In India the annual incidence rate of rectal cancer in men is 4.1 per 100000 populations. Colon cancer in women is 3.9 per 100000 populations. Causes of colorectal cancer include genetic and environmental factors or lifestyle-related factors. Some previous studies confirm colonoscopy as a best investigation tool in the diagnosis of colorectal polyp and carcinoma. In this report we share our experience of accidentally diagnosed rectal adenocarcinoma. A 55 years old lady came with the complaints of prolapsed mass during defecation associated with discharge and per rectal bleeding. Colonoscopy showed polyp of 4-5 cm size in distal rectum and rest of the mucosa was normal. Operation was performed for Polypectomy and the sample was sent for histopathologic examination which revealed the presence of well differentiated adenocarcinoma arising in tubulovillous adenoma. The present case demonstrated the importance of histopathologic examination in colorectal masses.

Keywords: Colonoscopy, colorectal cancer, histopathology, rectal adenocarcinoma, rectal polyp

Cite this Article

Ansari Tahezeeb Afroz, Firdous Ahmad Najar, Mohd Faisal, Ansari Ayesha Suleman. Rectal Polyp may turn out to be Rectal Adenocarcinoma—Case Report Emphasize Histopathology as a Routine Measure. Research & Reviews: Journal of Oncology and Hematology. 2020; 9(2): 19–23p.