Collision tumor of the colon – colonic adenocarcinoma and ovarian granulosa cell tumor.docVIP

World Journal of Surgical BioMedCentral Case report Open Access Collision tumor of the colon – colonic adenocarcinoma and ovarian granulosa cell tumor Mayur Brahmania*1, Chandra S Kanthan2 and Rani Kanthan1 Address: 1Departments of Pathology, Royal University Hospital, 103 Hospital Drive, Saskatoon, SK, Canada and 2Department of Surgery, Royal University Hospital, 103 Hospital Drive, Saskatoon, SK, Canada Email: Mayur Brahmania* - mab977@mail.usask.ca; Chandra S Kanthan - s.kanthan@usask.ca; Rani Kanthan - rani.kanthan@saskatoonhealthregion.ca * Corresponding author Published: 20 October 2007 Received: 29 May 2007 Accepted: 20 October 2007 World Journal of Surgical Oncology 2007, 5:118 doi:10.1186/1477-7819-5-118 This article is available from: /content/5/1/118 ? 2007 Brahmania et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: Collision tumors of the colon are rare. We report the first case, to our knowledge in the English literature, of a collision tumor composed of a colonic adenocarcinoma arising in a sigmoid diverticulum coexisting with a recurrent ovarian granulosa cell tumor. Case presentation: A 64-year old woman presented with small bowel obstruction and a large, heterogenous, solid/cystic serosal based pelvic mass consistent with a gastrointestinal stromal tumor on imaging. Her significant past history 16-years ago included a bilateral salpingo- oophrectomy with hysterectomy. Surgical removal of the mass and pathological examination revealed the presence of a colonic adenocarcinoma arising in a large sigmoid diverticulum coexistent with a second neoplastic tumor phenotype; confirmed to be a delayed recurrent ovarian granulosa ce