Cecal vanishing tumor associated with cytomegalovirus infection in an immunocompetent elderly adult

被引:0
作者
Kawasaki, Shinsuke [1 ]
Osawa, Satoshi [1 ]
Sugimoto, Ken [1 ]
Uotani, Takahiro [1 ]
Nishino, Masafumi [1 ]
Yamada, Takanori [1 ]
Sugimoto, Mitsushige [1 ]
Furuta, Takahisa [1 ]
Ikuma, Mutsuhiro [1 ]
机构
[1] Hamamatsu Univ Sch Med, Dept Med, Higashi Ku, 1-20-1 Handayama, Hamamatsu, Shizuoka 4313192, Japan
关键词
Cytomegalovirus colitis; Vanishing tumor; Elderly adult; Inflammatory pseudotumor; Immunocompetent host;
D O I
10.4251/wjgo.v2.i11.417
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Gastrointestinal involvement in cytomegalovirus (CMV) infection is well documented among immunocompromised patients and is also observed in immunocompetent individuals. The presentation of this infection can sometimes mimic those of other diseases, thus making accurate diagnosis difficult. We herein report a rare case of an immunocompetent elderly adult with gastrointestinal CMV infection that presented as a vanishing tumor at the cecum. A 76-year old man initially presented with lower abdominal pain. Colonoscopy revealed a tumorous lesion with irregular ulceration observed at the ileocecal valve. Histological findings of a biopsy specimen revealed intranuclear inclusions which were positive for CMV on immunohistochemical staining. However, this tumorous lesion disappeared within 7 wk from the initial hospital visit without any further treatment. Inflammatory pseudotumors associated with CMV infection should be considered as a differential diagnosis of tumorous lesions in the colon, even in immunocompetent adults. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:417 / 420
页数:4
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