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Findings: Anemia, episode of dizziness and blurred vision.
Abdomen: Large, non-tender, somewhat movable mass in the right lower quadrant
BE: 3 x 7 cm mass arising from lateral aspect of cecum which is considered to be carcinoma.
Right colectomy: Large tumor occupying the entire cecum and the distal 2-3 cm of the ileum. Invading lateral peritoneum and retroperitoneal space posterior to cecum. Rt. lobe of liver not palpated, left lobe free of tumor.
Gross: Right colon.
Micro: Ulcerated poorly diff. adenoca of cecum showing transmural extension into serosal adipose tissue. Extension into adjacent ileum, infiltration of lymphatics and mets to 1/4 mesenteric and 4/18 mesocolic LNs.
Surgery: Right colectomy.
Chemotheropy: Began FOLFOX4 (oxaliplatin, fluorouracil, leucovorin)