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Case #2

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Expand Primary Site

Cecum

Expand Physical Exam

09/19/XX

Findings: Anemia, episode of dizziness and blurred vision.
Abdomen: Large, non-tender, somewhat movable mass in the right lower quadrant

Expand X-Rays & Scans

09/25/XX

BE: 3 x 7 cm mass arising from lateral aspect of cecum which is considered to be carcinoma.

Expand Scopes

None

Expand Laboratory

None

Expand Operative Findings

10/05/XX

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.

Expand Pathological Reports

10/05/XX

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.

Expand Treatment

10/05/XX

Surgery: Right colectomy.

10/20/XX

Chemotheropy: Began FOLFOX4 (oxaliplatin, fluorouracil, leucovorin)