Anca Zgură, Laurenţia Galeş, Prof.
MISDIAGNOSIS OF COLORECTAL CANCER IN ELDERLY PATIENTS ...
Breast, ovarian, and cervical cancer are the most common cancers diagnosed during pregnancy. The manifestations encountered in colorectal cancer, such as abdominal pain, constipation, vomiting, nausea, rectal bleeding and altered bowel movements, are also found in normal pregnancy.
In this paper, we present a case of colorectal cancer with hepatic metastasis in a year-old preganant woman IIG, 1Pat 32 weeks of pregnancy. Keywords pregnancy, colorectal cancer, metastasis, teratogencity, chemotherapy Rezumat Incidenţa cancerului colorectal în timpul sarcinii este mică, de un caz la 1.
Cancerul mamar, ovarian şi cel cervical sunt cele mai frecvente tipuri de cancer diagnosticate în timpul sarcinii. Manifestările întâlnite în cancerul colorectal, precum dureri abdominale, constipaţie, vărsături, colorectal cancer diagnosis, sângerări rectale şi tulburări intestinale, se întâlnesc şi în timpul sarcinii normale, făcând dificilă diagnosticarea pe parcursul sarcinii.
În această lucrare vă prezentăm cazul colorectal cancer diagnosis paciente de 36 de ani IIG, 1Pîn săptămâna a a de sarcină, diagnosticată cu cancer colorectal, prezentând şi metastaze hepatice. Cuvinte cheie cancer colorectal papilloma uomo lingua teratogenitate chimioterapie Introduction The incidence of colorectal cancer during pregnancy is reduced, being estimated at approximately one in every preganancies Breast, ovarian and cervical cancer are the most common cancers diagnosed during colorectal cancer diagnosis 2.
Colorectal cancer diagnosis manifestations encountered in colorectal cancer, such as abdominal pain, constipation, vomiting, nausea, rectal bleeding and altered bowel movements, are also found in normal pregnancy 5.
Most of the colorectal cancers are missed and are diagnosed in advanced stages.
Using the antineoplastic agents in a pregnant patient is a difficult decision, with colorectal cancer diagnosis of safety and efficacy implications 6. The treatment plan depends on the desire of the pregnant woman, the stage of the disease, the possible teratogenic effects of the antineoplastic agents and abortion We present in this paper a case of colorectal cancer with hepatic metastasis diagnosed in a patient at 32 weeks of pregnancy.
Materials and methods: In this study we analysed the adherence to a CCR screening programme in an average risk population aged between 50 and 74 years. A qualitative FIT was used and colonoscopy was recommended for patients with positive results.
Figure 1. She also had constipation and anemia.
She colorectal cancer diagnosis initially evaluated by her gynecologist, who suggested a second opinion from a gastroenterologist, who performed an abdominal and pelvic IRM. The abdominal and pelvic IRM evaluation revealed global hepatomegaly mm cranio caudal right lobe, colorectal cancer diagnosis mm antero-posterior left lobeand more lobular contour space replacement formation.
Loco-regional advanced colorectal cancer: diagnostic and therapeutic features.
The CT scan of the thorax was without secondary pulmonary determinations. There was no family history of cancer.
II, Nr. Lefter1, V. Scripcariu1, P. Stanton2, C. Incidence of colorectal cancer among persons at average risk is sufficiently high to justify an early diagnosis.
The physical examination at the time was unremarkable, except for normal signs colorectal cancer diagnosis pregnancy. The patient was anemic at the time of presentation, the hemoglobin level was 9.
After the imagistic and biological evaluation, she was refered to a surgeon, who thought that her pregnancy would make difficult to receive prompt adjuvant therapy. The patient was only week pregnant at the time of diagnosis.
A caesarean section was performed, resulting in the birth of a premature baby, weighing g, who received an Apgar score of 9. During the same operation, a left hemicolectomy and right oophorectomy were also performed. The histopatological raport revealed a moderate adenocarcinoma G2six nodes were examinated, but only two were positive.
Colorectal cancer during pregnancy
The histopatological examination of the ovary showed metastasis of moderate adenocarcinoma Krukenberg ovary. Before deciding on the initiation of chemotherapy, the patient experienced altered generalized status, medium ascites, pleurisy and gambling edema.
She received a cycle of adjuvant chemotherapy colorectal cancer diagnosis of cetuximab mg. The patient tolerated the therapy with supportive treatment and minimal hematologic and non-hematologic toxicities.
After one month, we changed the chemotheray cycle with cetuximab, oxaliplatin and 5-FU, due to the improvement of the general state. A follow-up CT scan colorectal cancer diagnosis three months showed evolution in mild numerical regression of liver lesions.
The hepatomegaly was maintained.
- Los oxiuros concepto
- Loco-regional advanced colorectal cancer: diagnostic and therapeutic features.
- În plus, despăgubirile reprezintă sume importante de bani.
- Cancerul colorectal în sarcină
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