Synchronous Colorectal Cancers: A Case Report and Review of Literature

Prabhu, R and Sindhura, * and Sunil, K and Sakshi, S (2014) Synchronous Colorectal Cancers: A Case Report and Review of Literature. World Journal of Medical Education and Research, 7 (1). pp. 36-39. ISSN 2052-1715

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Synchronous colorectal cancers (SCRC) constitute about 1.1 to 5.3% proportion of colorectal cancers. It is rather vital to diagnose a SCRC in order to avoid surgical re-intervention and poorer prognosis. This report documents a 61 year old female with persistent bleeding per rectum with history of weight loss. Family history of colorectal malignancy was present. Colonoscopy showed multiple polypoidal growths at 20cms, 40cm, and 65 cm from the anal verge, near hepatic flexure and caecum. Histology of these four polyps are consistent with adenocarcinomatous change. CT abdomen reported as wall thickening in the proximal third of transverse colon with luminal narrowing and multiple polyps in the caecum, ascending colon, descending colon and sigmoid colon. No regional lymphadenopathy was seen. Patient underwent total colectomy. Pathological analysis of the surgical specimen confirmed the diagnosis of multiple intestinal adenocarcinoma. This case report emphasizes the need for a pre-operative diagnosis to ensure a good patient prognosis in colorectal malignancies

Item Type: Article
Uncontrolled Keywords: Synchronous colorectal cancer; High grade dysplasia; Index lesion; Concurrent lesion
Subjects: Medicine > KMC Manipal > Nephrology
Depositing User: KMC Manipal
Date Deposited: 12 Feb 2015 09:40
Last Modified: 12 Feb 2015 09:40

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