Case Presentation in Advanced Colon Cancer Case: 2

June 12, 2017

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