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- Title
COLONOSCOPIC MANAGEMENT OF SIGMOIDIAN TUMOR-CASE REPORT.
- Authors
Pop, Ioana-Roxana; Popescu, Oana-Maria; Pop, Ioana-Alexandra
- Abstract
Introduction: Colorectal cancer stands as the most prevalent malignant tumor worldwide, serving as the principal determinant of mortality. The primary histological type is carcinoma, where the epithelium lining of the gastronintestinal tract undergoes degradtion and experiences unregulated proliferation. Statistically, men exhibit a higher susceptibility to the onset of disease, with genetic factors and age also serving as contributory factors. The treatment options may involve either colonoscopic or surgical resection, followed by a course of radioteraphy and chemotherapy. Case Report: A 60-year-old man with known history of hemorrhoidal disease presented with symptoms of rectal bleeding, fatigue, weight loss and worsening symptoms over recent months. Paraclinical laboratory tests indicates mild normochromic normocytic anemia with slight hyposideremia. A CT scan revealed nodular intraluminal iodine lesions alongside several diverticula without signs of inflammation. Following a clinical examination, a tumor formation (pedunculated polyp) was identified on the sigmoid colon approximately 20 cm from the anterior border, protruding into almost half of the colonic lumen. Extensive congested hemorrhoids were additionally identified within the anal canal, accompanied by minimal bleeding. The histopathological analysis reveals incomplete fragments of colonic mucosa, displaying a neoplastic proliferation characterized by a villous architecture and high-grade dysplastic alterations. The identified formation could potentially be removed colonoscopically, avoiding the need for surgical interventions. While hospitalized, the patient undergoes treatment with Detrales, suppozitories and Hemovert to allievate rectal bleeding. Discussions : Colonoscopic dissection and removal with forceps is a procedure that necessitates monitoring of the pedicle to prevent the potential spread of malignant cells to surrounding areas. Colon cancer reccurence affects approximately 30% to 40% of individuals who have undergone treatment for colon cancer, within the first 2 or 3 years, with about 95% happening within 4 years of surgery. Conclusions: Despite the generally grim prognosis accompanying tumor formations in the colon, it is important to acknowledge the existence of scenarios where modern medical interventions exhibit significant efficacy in managing the condition, leading to more favorable outcomes.
- Subjects
ROMANIA; RADIOTHERAPY; CONFERENCES &; conventions; COLON tumors; CANCER chemotherapy; COLONOSCOPY
- Publication
Acta Marisiensis. Seria Medica, 2024, Vol 70, p270
- ISSN
2668-7755
- Publication type
Article