Severe Abdominal pain

A 49 y/o male had mild abdominal pain and diarrhea for 15 days and got severe last night. He described pan as 8/10. He has history of lymphoma. No other other past medical or surgical history. A colonoscopy was done which shows 8 cm necrotic rectal mass. Biopsy of the lesion shows adenocarcinoma of the rectum. Management plan?

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49 YEARS OLD MALE HAS ADENOCARCINOMA OF RECTUM SHOWN BY COLONOSCOPY 8 CMS NECROTIC MASS HAS MILD ABDOMINAL PAIN AND DIARRHEA FOR 15 DAYS NEEDS ULTRSOUND AND C T SCAN ABDOMEN TO BE MANAGED BY ANO RECTAL CONSULTANT

CT scan of abdomen and pelvis to stage the disease - adenocarcinoma of rectum Complete blood count and bone marrow test to stage lymphoma He may need surgery for adenocarcinoma of rectum

Colonoscopy suggest the colonorectal mass is adenocarcinoma Rx colostomy Rest chemotherapy and radiotherapy Rest take opinion of oncologist

Opinion of oncosurgeon For adenocarcinoma of rectum Surgery 50 percent results Slow growing cancer

? ADENOCARCINOMA .. RECTUM .. ONCOLOGISTS OPINION.. SURGERY.. CHEMOTHERAPY.. RADIOTHERAPY..

Adenocarcinoma Sugery + chemotherapy+ if req radiotherapy

Surgery Chemotherapy Radiotherapy All are combined

Oncologists opinion for further management.

Adenocarcinoma of rectum Stage 3 So chemotherapy and Radiotherapy t/t

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