Abstract

KARIM, Aitidir. Colorectal cancer in pediatric age: case report. Pediatr. (Asunción) [online]. 2017, vol.44, n.2, pp.148-152. ISSN 1683-9803.  https://doi.org/10.18004/ped.2017.agosto.148-152.

Colorectal cancer (CRC) is an extremely rare condition in children. It is more exceptional when it oc-curs in children with neurofibromatosis type 1, which is considered a risk factor for the development of malignant tumors. We report the case of an 8-year-old child with high-grade metastatic CRC. The patient had chronic muco-bloody diarrhea, rectal bleeding and weight loss. His examination revealed cafe-au-lait spots scattered on his back, pelvis, and lower limbs. A polipoid, stenosing, pediculated, ul-cerative mass located 35 cm from the anal margin was visualized by colonoscopy. CT revealed hepatic metastasis. An ample colectomy was performed and the histology showed 23 polyps, 112 reactive lymph nodes and one tumor with a mucinous component. The patient received chemotherapy and liver lobectomy. There is no specific protocol for the treatment of this condition in children. The prog-nosis depends mainly on the aggressive nature of the tumor, its staging and the place where it develops.

Keywords : Colorectal adenocarcinoma; neurofibromatosis; children; mucinous; prognosis.

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