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Wednesday, 5 March 2014

CASE 239: COLON TUMOR and WALLED-OFF ABSCESS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Man  dob 1951,  too painful  in left  flanc with  digestive trouble  in  defecation.
Ultrasound  first   detected  a hypoechoic  mass   along   left  flanc with  pseudocervix sign. Sonologist   suggested that  descending colon tumor and  peritumoral  abscess ( see 3  ultrasound pictures).




MSCT  with CE   diagnoses this mass  being  colon tumor  subocclusion and  abscess   arround tumor ( see CT  pictures).



Colo-endoscopy  detected     lumen stenosis of   descending tumor, but  biopsy  this  tumor  2 times   all  report  were free of cancer cell.


Blood test   WBC  not  rising , CEA, CA 19-9  were negative.
Open operation was done in  detecting  big mass  due to colon cancer  invading to around  structures,   .. making   the wall-off mass ( see  foto).




Microscopic report was colon cancer.



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