Case Presentation in Advanced Colon Cancer Case: 2
Case Presentation in Advanced Colon Cancer
- A 55-year old Caucasian male was admitted to the hospital with severe crampy right lower quadrant pain
- He had a 2-month history of constipation, general abdominal discomfort, and tiredness
- PMH remarkable for hyperlipidemia managed with diet and statin therapy
- Laboratory findings remarkable for grade 2 anemia (Hb, 9.0 g/dL) and elevated CEA (6.7 ng/mL)
- CT showed a non-obstructive mass in the sigmoid colon that infiltrated the full thickness of the bowel wall and involved adipose tissue
- Biopsy results indicated poorly differentiated invasive adenocarcinoma
- He opted for sigmoid colectomy and was referred to a surgeon
- Following surgery, R0 resection with clear margins
- 9 of 13 lymph nodes sampled were positive for adenocarcinoma
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