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GENERAL SURGERY Case Presentation III-B Dr. Erasmo

GENERAL SURGERY Case Presentation III-B Dr. Erasmo Members: de Leon, Gemma de Mesa, Angelica de Vera, Jestha dela Cruz, Ciara. HPI. Basis: Usual manifestation of Colon Cancer.

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GENERAL SURGERY Case Presentation III-B Dr. Erasmo

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  1. GENERAL SURGERY Case Presentation III-B Dr. Erasmo Members: de Leon, Gemma de Mesa, Angelica de Vera, Jestha dela Cruz, Ciara

  2. HPI

  3. Basis: Usual manifestation of Colon Cancer

  4. Basis: Other manifestation of Colon Cancer

  5. Double contrast Barium enema • Colonoscopy • CT Scan • MRI • Virtual colonoscopy

  6. colon is first filled with barium • the barium is drained out, leaving only a thin layer of barium on the wall of the colon • colon is then filled with air • This provides a detailed view of the inner surface of the colon, making it easier to see narrowed areas (strictures), diverticula, or inflammation. • This technique can miss the (less common) flat polyp.

  7. A lighted probe called a colonoscope is inserted into the rectum and the entire colon to look for polyps and other abnormalities that may be caused by cancer. • A colonoscopy has the advantage that if polyps are found during the procedure they can be immediately removed. • Tissue can also be taken for biopsy.

  8. an x-ray test that produces detailed cross-sectional images of your body • Instead of taking one picture, like a regular x-ray, a CT scanner takes many pictures as it rotates around you while you lie on a table. • A computer then combines these pictures into images of slices of the part of your body being studied. • Unlike a regular x-ray, a CT scan creates detailed images of the soft tissues in the body. • This test can help tell if colon cancer has spread into your liver or other organs.

  9. provide detailed images of soft tissues in the body • uses radio waves and strong magnets instead of x-rays • useful in looking at abnormal areas in the liver that might be due to cancer spread • They can also help determine the extent of rectal cancers. • little more uncomfortable than CT scans • First, they take longer -- often up to an hour. • Second, you have to lie inside a narrow tube, which is confining and can upset people with claustrophobia

  10. replaces X-ray films in the double contrast barium enema with a special computed tomography scan • requires special workstation software in order for the radiologist to interpret • This technique is approaching colonoscopy in sensitivity for polyps. • However, any polyps found must still be removed by standard colonoscopy.

  11. Surgery is the ONLY hope • Adjuvant chemotherapy for Colon CA • Stage III disease • High risk Stage II disease • Obstruction • High grade histology

  12. What is your interpretation of Abdominal films?

  13. .

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