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Friday, 14 January 2022

CASE 622: RECTUM CARCINOMA, Dr ĐẶNG NGUYÊN KHÔI, Dr PHẠM CHÍ TOÀN, Dr VÕ NGUYỄN THÀNH NHÂN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 Male patient 64yo, revealed  himself blood in stool. 

Virtual Colonoscopy MSCT detected in left pelvis a vegetative tumor of colon that narrowed 50% lumen of colon and blurred fatty tissue around.



Colonoscopy confirmed a vegetative colonic tumor which was 15 cm far from anus that made narrow lumen #50%.




Endorectal ultrasound 360 degree [EUS] detected the tumor, T3 N1 Mx. Tumor # 29x16 mm of mucosa of posterior wall invaded epithelial layer to posterior fatty tissue of rectum.




Biopsy report of the tumor is colon cancer. Differentiated carcinoma of rectum (C 18.9).



Colon rectum removed, See macro specimen.