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Not all colonic growths are malignant
  1. Geethu Rachel Iype1,
  2. Sasank Kalipatnapu1,
  3. Dipti Masih2 and
  4. Gigi Varghese1
  1. 1 Division of General Surgery, Christian Medical College, Vellore, Tamil Nadu, India
  2. 2 Pathology, Christian Medical College, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Sasank Kalipatnapu, ksasank{at}


We present the case of a 34-year-old woman who was diagnosed to have adenocarcinoma of the caecum based on the clinical, radiological, histopathological and intraoperative findings. However, postoperative histopathology showed only features of xanthogranulomatous inflammation without any evidence of malignancy. This benign chronic inflammatory condition could present as a histological surprise. It is important for both surgeons and pathologists alike to be aware of this.

  • general surgery
  • surgical oncology
  • pathology

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  • Contributors GRI, SK and GV conceived the idea. DM was vital for the pathology input and images. GRI, SK and GV prepared the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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