TUMOR BOARD presentation on liver ca.pptx

tumor board

1. TUMOR BOARD

2. Rajinder Singh 61 y old female with known case of Hypertension (on medications) presented to Surgical Gastro OPD with C/o Pain abdomen since 2-3 months Constipation since 1 month Vomiting since 15 days

3. INVESTIGATIONS Hb 15.1 TLC 9610 Platelets 3.01 lac HIV/HCV/HBsAg NR CA 19.9 100.91 LFT TB 15.3 DB 10.27 OT/PT 61/66 ALP 329 TP 7.0 ALB 3.9 Globulin 3.1

4. CECT ABDOMEN Dilated distal CBD with circumferential thickening over distal CBD S/O Distal Cholangiocarcinoma

5. The patient was planned for Whipple’s procedure on 02.12.23 Intra op findings : No evidence of dissemination The gall bladder was over distended CBD diameter of around 15mm Firm mass about 3x2.5cm palpable in the periampullary region Pancreas soft in consistency Hepatic artery anatomy: no variation

6. ASHA RANI 61 year old female known case of systemic hypertension came to OPD with C/o Pain abdomen for 1 months Vomiting for 15 days Constipation for 10 days

7. INVESTIGATIONS Hb 11 TLC 7300 Platelets 4.75lacs HIV/ Hcv /HBsAg NR CA19.9 9.54

8. CECT ABDOMEN Mild circumferential thickening seen in sigmoid colon with maximum wall thickness of around 12mm and length of involved segment of around 4.5cm s/o neoplastic etiology of sigmoid colon Few subcentimetric lymph nodes in mesentry and pre and para aortic region Defect seen umbilicus with herniation of omentum s/o umbilical hernia

9. FNAC( 04.01.24) CRUSH SMEAR showed suggestive of Adenocarcinoma sigmoid colon HPE showed moderately differentiated adenocarcinoma of sigmoid colon

10. The patient underwent Sigmoid colectomy on 09.01.24 Intraop findings Approx 4x4cm growth in rectosigmoid junction extending from distal sigmoid to upper rectum No nodal metastasis No gross ascites