C/O : Hematochezia

A 69 year old male presents with hematochezia for 7 days and abdominal pain for 10 days. Abdominal pain is not relieved by medication. Vitals are normal. Leucocytes: 7,500/µL, Hb: 10 g/dL, CEA: 1.3 ng/mL. CT shows a mass of 2 cm in the ascending colon. Colonoscopy shows a white protruding mass that looks malignant. What is your views on the management?

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A colonoscopic biopsy should have been done to confirm the diagnosis of CA ASCENDING COLON . After a CECT abdomen with metastatic work up - right hemicolectomy is indicated

To access the possible neoplastic pathogy, adviced for CT guided HPE. And to proceed for surgical intervention if needed without delay.

? CA .. COLON .. NEED'S.. HPE..STUDY.. WITH.. ONCOLOGISTS OPINION FOR FURTHER MANAGEMENT..

Probabely malignant growth Adv: CT SCAN CT guided biopsy Measure vitals

RECTAL CANCER go for biopsy first....

ADVISABLE... ... H. P. E.. RULE. OUT MALIGNANT. CHANGES

Strongly suggestive of colonic carcinoma in ascending colon. Can be confirmed by biopsy. CECT to be done to look for any lymphatic or hematogenous spread. Do TNM staging Immediate surgical intervention (right hemicolectomy followed by ileo- transverse anastomosis) required.

Colonoscopic biopsy and gastrosurgery referral

Right hemicolectomy and do ileocolic anastomosis

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