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Case Reports in Medicine
Volume 2010, Article ID 921328, 4 pages
http://dx.doi.org/10.1155/2010/921328
Case Report

Primary Adenocarcinoma of Ileostomy: Case Report with Review of the Literature

1Division of Surgery, Royal Surrey County Hospital, Egerton Road, Guildford GU2 7XX, UK
2Division of Surgery, Worcester Royal Hospital, Charles Hasting Way, Worcester WR5 1DD, UK

Received 28 December 2009; Accepted 2 March 2010

Academic Editor: Robert Pirker

Copyright © 2010 Shailesh Mohandas and Stephen Lake. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary adenocarcinoma is a rare and late complication following proctocolectomy and ileostomy for ulcerative colitis, familial adenomatous polyposis, Crohn's disease and multifocal colorectal cancer. We report a case of adenocarcinoma of the ileostomy occurring 48 years after proctocolectomy for ulcerative colitis. A review of the literature suggests that there are 39 cases reported in literature and this case reports the longest interval between formation of ileostomy and diagnosis of ileostomy adenocarcinoma. This case also reports lymph node metastasis to the adjacent mesenteric lymph node. The incidence of lymphnode metastasis is 15 percent as per literature. Onces diagnosis is confirmed by biopsy enblock excision with or without stomal relocation is the main stay of treatment. Patient education and regular surveillance of patients with long-standing ileostomy is recommended for early detection of this unusual cancer.