Coexistence of rectal adenocarcinoma and rectal and lymph node tuberculosis: a case report with a limited narrative review - Report - MDSpire

Coexistence of rectal adenocarcinoma and rectal and lymph node tuberculosis: a case report with a limited narrative review

  • By

  • Sanbao Shi

  • Da Li

  • Peng Xu

  • Cheng Zhang

  • June 11, 2026

  • 0 min

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Clinical Report: Concurrent Rectal Adenocarcinoma and Tuberculosis

Overview

This case study presents a 72-year-old man with rectal adenocarcinoma and concurrent tuberculosis of the rectum and lymph nodes.

Background

Concurrent rectal cancer and tuberculosis is a rare clinical scenario. Both conditions can present with similar symptoms, such as hematochezia and tenesmus.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • A 72-year-old male with a history of pulmonary tuberculosis presented with rectal adenocarcinoma.
  • Preoperative imaging and biopsy confirmed rectal adenocarcinoma, with suspected pulmonary metastases.
  • Postoperative pathology revealed granulomatous inflammation and positive TB DNA PCR, indicating concurrent tuberculosis.
  • The patient experienced postoperative complications related to tuberculosis but improved with treatment.
  • No tumor recurrence or new tuberculosis was observed at one year post-surgery.

Clinical Implications

Comprehensive pathological and molecular evaluations are essential for accurate diagnosis.

Conclusion

This case highlights the potential for concurrent rectal cancer and tuberculosis.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Sigmoid colonic tuberculosis presenting as a colovesical fistula mimicking colorectal malignancy: a case report
  2. Infection, 2025 -- Tuberculosis of the Peritoneum
  3. Survival Outcomes and Clinical Features of Rectal Cancer Patients Based on MRI-Determined mrT3 Substages, 2025
  4. Management of Locally Advanced Rectal Cancer: ASCO Guideline | Journal of Clinical Oncology
  5. Treatment for Drug-Susceptible Tuberculosis Disease | Tuberculosis (TB) | CDC
  6. Frontiers | Coexistence of Rectal Adenocarcinoma and Rectal and Lymph Node Tuberculosis: A Case Report with a Limited Narrative Review
  7. Frontiers in Oncology — Case Report: Definitive radiotherapy for inoperable anal Buschke–Löwenstein tumors: two cases with literature review
  8. Management of Locally Advanced Rectal Cancer: ASCO Guideline | Journal of Clinical Oncology
  9. Treatment for Drug-Susceptible Tuberculosis Disease | Tuberculosis (TB) | CDC
  10. Frontiers | Coexistence of Rectal Adenocarcinoma and Rectal and Lymph Node Tuberculosis: A Case Report with a Limited Narrative Review

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