Case Study: What would you do? – Dr. Ravinder Singh
77 year old Male who was referred for a colonoscopy because of FIT +ve. He also had a FMHx of a 1st degree relative with colon cancer. But, this patient had never undergone a colonoscopy. Colonoscopy findings: cecal cancer, multiple adenomas, and a large upper rectal adenoma with extensive high grade dysplasia on pathology. Staging CT confirmed cecal cancer and no other local-regional or distant disease. CEA was normal. What would you do next?
- 1. Right Hemicolectomy with shorter interval flexible sigmoidoscopy/colonoscopy
- 2. Right Hemicolectomy + Anterior Resection
- 3. Sub-total Colectomy with ileo-rectal anastomoses
The patient went on to have a right hemi-colectomy and will be scheduled to have a shorter interval flexible sigmoidoscopy. Conversation/results: download
