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A RARE CASE OF ADENOCARCINOID OF RECTUM

DILIP KUMAR KUMARESAN

Abstract


35 yr old female a case of generalized
neurofibromatosis was admitted with history
of bleeding per rectum and Difficulty
in passing stools for 3 months was found
to have Palpable fungating mass on per
rectal examination,the lower border is felt
5 cm from the anal verge upper border
could not be felt. Biopsy done showed
adenocarcinoma with carcinoid tumour.
Immunohistochemistry done to support
the diagnosis and is diagnosed a case of
adenocarcinoid. CT scan taken showed
Rectal wall growth with no perirectal invasion.
Abdomino perineal resection with
permanent colostomy was planned and
executed.Post op period was uneventful.
Patient was treated with adjuvant chemotheraphy.
This case is presented for its
rarity since adenocarcinoid is common in
appendix about 0.6 percent, but rectal
adenocarcinoid is very rare,only seven
cases has been reported in literature and
for its management based on biological
b e h a v i o u r o f t h e t u -
mour.Keyword :Composite tumour of
Rectum,Adenocarcinoid, Rectum


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