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Colorectal carcinoma associated with schistosomiasis a possible causal relationship.doc

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Colorectal carcinoma associated with schistosomiasis a possible causal relationship

HSalimetal.WorldJournalofSurgicalOncology2010,8:68 /content/8/1/68 WORLD JOURNAL OF SURGICAL ONCOLOGY REVIEW OpenAccess Colorectalcarcinomaassociatedwith schistosomiasis:apossiblecausalrelationship 3? OmerEHSalim1,2?,HythamKSHamid2*?,SalwaOMekki ,SuleimanHSuleiman1,2?,ShakirZIbrahim1,2? Abstract Theassociationbetweenschistosomiasisandcolorectalmalignancyhaslongbeensuggestedintheliterature,but itisnotuniformlyaccepted.IntheFarEast,considerableevidencesupportsanetiologicallinkbetweenSchisto- somajaponicumandcolorectalcancer.However,theavailabledataregardingtheroleofSchistosomamansoniin colorectalcarcinogenesisareconflictingandmostoftendonotshowcausality.Wereportonapatientwithsig- moidcoloniccancercoexistingwithschistosomiasis,andweprovideacomprehensivereviewoftheliterature regardingtheepidemiologyandpathobiologyofthisassociation. Background CaseReport Schistosomiasis isafairly prevalent communicable dis- A 35-year-old man presented with four-year history of easeintropicsandsubtropicscausedbyatrematodeof left lower crampy abdominal pain, constipation, and thegenusschistosoma.Itaffectsmorethan200million occasional bleeding per rectum. He ever went to clinic people worldwide, with over 700 million living under forhelpwithsymptomaticimprovementafterempirical conditionsfavouringtransmission[1].Humanschistoso- treatment, whereas no definite diagnosis was made. In miasisisgenerallycausedbythreemajorspecies:Schis- thelast twomonths,hisabdominalpaingotworseand tosoma mansoni (S. mansoni) endemic in Africa, the the rectal bleeding became more frequent and almost MiddleEast,andSouthAmerica,Schistosomajaponicum constant. He also had anorexia and moderate weight (S.japonicum)commoninSoutheastAsia,andSchisto- loss. His past history was notable for appendecectomy somahaematobium(S.haematobium)prevailsinAfrica and inguinal hernia repair. The patient came from andtheMiddleEast[1]. Al-Geziraprovince,anareaofhighendemicityforschis- In endemic