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Friday, 14 September 2012

CASE 139: COLON TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC. VIETNAM.

MAN 51 yo, ABDOMINAL PAIN AND BLOODY STOOL ONE WEEK AGO. ULTRASOUND DETECTED ONE MASS AT RIGHT SUBCOSTAL REGION WITH IMAGE LOOK LIKE OINION SIGN (IMAGE 1: CROSS-SECTIONAL VIEW, IMAGE 2: LONGITUDINAL VIEW) WITH THE REPORT BY SONOLOGIST ABOUT AN INTUSSUSCEPTION OF COLON.


MDCT SHOWED ONE SMALL TUMOR AND ITS CENTRAL PART REPRESENTED  A POLYP IN COMPARISON WITH MRI IMAGE.


WHAT IS YOUR SUGGESTION AND WHAT IS YOUR NEXT STEP?
The patient was admitted in emergency. Do you thing colonoendoscopy can do or surgery. Endoscopic colectomy showed the tumor making circular stenosis of ascending colon and inducing intussusception.
Macroscopic specimen is suspected a colon cancer, and microscopic report is  adenocarcinoma invasive of colon.

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