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Patient referred himself to physician because of bloody mucous with stools.
Sigmoidoscopy: Ulcerated lesion at approximately 18-20 cm.
Sigmoid resection: Carcinoma at approx. 18 cm level just below peritoneal reflection. Several enlarged LNs felt within the mesentery.
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.
Surgery: Sigmoid resection
Chemo: Began 5-FU/leucovorin