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Case #4

Click an information source below to view the case history.

Expand Primary Site

Sigmoid colon

Expand Physical Exam

05/20/XX

Patient referred himself to physician because of bloody mucous with stools.
Rectal: Unremarkable

Expand X-Rays & Scans

None

Expand Scopes

05/26/XX

Sigmoidoscopy: Ulcerated lesion at approximately 18-20 cm.

Expand Laboratory

None

Expand Operative Findings

06/06/XX

Sigmoid resection: Carcinoma at approx. 18 cm level just below peritoneal reflection. Several enlarged LNs felt within the mesentery.

Expand Pathological Reports

06/06/XX

Gross: Section of sigmoid.
Micro: Mod diff adenoca with transmural extension to serosa and metastatic to 1/12 serosal and mesocolic LNs. Tumor size 6 cm. Surgical margins free of neoplasm.

Expand Treatment

06/06/XX

Surgery: Sigmoid resection

06/27/XX

Chemo: Began 5-FU/leucovorin