궤양성대장염에 발생한 대장암 2례

Abstract

Ulcerative colitis is a chronic inflammatory disease of unknown etiology, involving primarily mucosa and s니bm니cosa of the colon. Adenocarcinoma of colon is being recognized with increasing frequency as a serious complication of chronic ulcerative colitis of extensive involvement and long duration. I report Uvo cases of colonic carcinoma arising from chronic ulcerative colitis. The first case was 63-year old female suffering from a 15-year total colitis and farᅳadvanced rectal cancer. Palliative extended left colectomy and Hartmann type transverse colostomy were done. Pathologic finding revealed chronic ulcerative colitis, dysplasia and nuicinous adenocarcinoma. The patient died in one and half a year after the operation. The second case was 64 — year old female with complaints of bloody diarrhea and pain in left abdomen for 1 month, wkho니t having been previously diagnosed of ulcerative colitis. Extended left colectomy was done under the diagnosis of advanced sigmoid colon cancer. Pathologic findings revealed ulcerative colitis in the left colon and mucinous adenocarcinoma in the rectosigmoid colon. The patient is still alive with chronic ulcerative colitis 10 years later.