Coexistence of rectal adenocarcinoma and rectal and lymph node tuberculosis: a case report with a limited narrative review - Takeaways - 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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  • 1

    Concurrent rectal adenocarcinoma and tuberculosis is a rare clinical entity that complicates patient management due to overlapping symptoms.

  • 2

    A 72-year-old man with a history of pulmonary tuberculosis presented with hematochezia and tenesmus, leading to the diagnosis of rectal adenocarcinoma.

  • 3

    Preoperative imaging confirmed rectal adenocarcinoma, but also revealed granulomatous inflammation and positive TB DNA PCR in lymph nodes.

  • 4

    The patient underwent a Hartmann procedure after neoadjuvant chemoradiotherapy, with postoperative complications related to tuberculosis.

  • 5

    This case emphasizes the need for comprehensive evaluations to differentiate between rectal cancer and tuberculosis, preventing delayed diagnosis.

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