April 1989

Adenocarcinoma Arising in an IleostomyReport of Two Cases and Review of the Literature

Author Affiliations

From the Departments of Colon and Rectal Surgery (Drs Roberts and Veidenheimer and Ms Cassidy), and Pathology (Dr Silverman), Lahey Clinic Medical Center, Burlington, Mass.

Arch Surg. 1989;124(4):497-499. doi:10.1001/archsurg.1989.01410040107025

• Adenocarcinoma arising in an ileostomy is rare. Two cases are reported, one of a 58-year-old woman and the other of a 54-year-old man who had each undergone a colectomy for chronic ulcerative colitis. Seven other cases previously reported in the literature are reviewed. Though the exact pathogenesis is uncertain, several possibilities, particularly with regard to antecedent dysplasia and backwash ileitis, are discussed. Routine yearly follow-up and examination of the stoma by a physician or enterostomal therapist may lead to earlier detection of this rare complication.

(Arch Surg 1989;124:497-499)