Colon cancer case presentation after oncology assessment.pptx

Colon cancer case presentation after assessment.pptx

1. CASE PRESENTATION Presentation by Kofi Osei-D uah , R2438225 (15/5/ 2025)

2. DEMOGRAPHICS Mr S.A.A Age: 40yrs Sex: M LHIMS No: UE-A01-AAJ7895 Occupation : Works with an estate company MS : single with no children Residence : Bolgatanga

3. PC: Mass in the abdomen: 1 month ago

4. H.P.C: Referral from Upper East Regional Hospital o/a of Suspected colon Malignancy (reported on 14/05/2025) Seen by Oncology team Referral from Upper East Regional Hospital Patient was well until a year ago when he stated having recurrent abdominal pain. It was associated with frequent constipation, he also noticed a mass in his right lower abdomen that was slowing increasing size. The pain worsened about 2 months ago with constipation and persistent vomiting for about a week.

5. He had an abdominopelvic CT scan done on 19/3/25 which were all reported normal. He reported to the above hospital a month ago and had a limited right hemicolectomy done on 6/4/25.

6. Intraop findings not stated. Histopathology reported; invasive mucinous carcinoma, the tumor has infiltrated the full thickness of the bowel wall with extension into the mesenteric fat. The lymph nodes are free of tumor. The resection margin is free of tumor. small bowel segments normal. Duke stage B2. He was then referred here for further management.

7. ODQ: weight loss+, paraesthesia -, dyspnea-, cough+(intermittent), chest pain-, backpain - , vomiting-

8. PMSHX: nil DHX: herbal FHx : nil SHx : Works with an estate company, single with no children, alcohol-, smoking-, stays at Bolgatanga , financial support from a brother. Has financial challenges.

9. O/E Afebrile, anicteric and not pale Abd ; healed midline surgical scar, full, soft, non, tender, non tender, no organomegaly . CVS: S1+S2+0, CNS: grossly intact PS 1

10. Imp: invasive mucinous carcinoma of the caecum, post limited right hemicolectomy (at least pT3)

11. Plan + Dr. Aduse Poku 1. To do abdominopelvic CT scan, chest CT 2. To do CBC, LFT, RFT , CEA 3. To get detailed report from the pathologist 4. Review in a week PLAN AFTER CLINICAL MEETING 1. To offer 6 cycles of XELOX if non metastatic 2. Review in a week with labs and imaging report

12. Metastatic work-up ABDOMINOPELVIC USG REPORT: SHOWED UTERINE MYOMATA NO SONOGRAPHIC EVIDENCE OF METASTASIS CHEST CT: Known case of Invasive Lt . colon Ca with Lt. Pulmonary nodules (??likely mets ) Suspicious Rt. Axillary L1 and Lt. Intra-mammary lymph nodes

13. Reference: Under supervision of Dr Polibu