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Archives de pédiatrie
Volume 15, n° 11
pages 1656-1659 (novembre 2008)
Doi : 10.1016/j.arcped.2008.08.013
Received : 16 October 2007 ;  accepted : 1 August 2008
Adénocarcinome du rectum chez 1 enfant de 14 ans
Adenocarcinoma of the rectum in a 14-year-old
 

Ben Romdhane Wafa 1, Boukédi Amel 1, Aloulou Samir 2, Ben Salah Mounir 1, Ben Halima Nabil 1, Mnif Zeineb 3, Frikha Mounir 2, Chouchane Chokri 1, , Abdelmajid Mahfoudh 1
1 Service de pédiatrie, urgence et réanimation pédiatrique, hôpital Hédi-Chaker, route El Ain, 3029 Sfax, Tunisie 
2 Service de carcinologie, hôpital Hédi-Chaker, route El Ain, 3029 Sfax, Tunisie 
3 Service de radiologie, hôpital Hédi-Chaker, route El Ain, 3029 Sfax, Tunisie 

Auteur correspondant.
Résumé

Le cancer colorectal est rare chez l’enfant et l’adolescent. Il est souvent associé à des facteurs de prédisposition génétique, des signes histologiques d’agressivité et à un mauvais pronostic. Les 2 syndromes familiaux les plus incriminés sont le syndrome du cancer colorectal héréditaire non polyposique et la polypose adénomateuse familiale, leur transmission s’effectue selon le mode autosomique dominant. Nous rapportons le cas d’une jeune fille âgée de 14 ans qui a présenté un adénocarcinome primitif du rectum classé Dukes D avec carcinose péritonéale et métastases osseuses.

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Summary

Colorectal cancer is rare in children and adolescents. It is usually associated with predisposing genetic factors, aggressive histology, and poor prognosis. Two familial syndromes are best characterized, hereditary nonpolyposis colorectal cancer and familial adenomatous polyposis. They are autosomal dominant inherited disorders. We report the case of a 14-year-old girl having a Dukes D adenocarcinoma of the rectum with peritoneal extension and bone metastases.

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Mots clés : Adénocarcinome, Rectum, Hérédité, Métastases




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