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Showing posts from January, 2013

Video Showing Recurrent Mucinous Adeno Carcinoma Colon

Video showing DIAGNOSTIC LAPAROSCOPY in a young female patient with recurrent mucinous adeno carcinoma colon.
—It shows the liver, peritoneum to be normal except for some adhesions —
A ball of mucinous tumour close to the right adnexa but could be separated with ease from the right ovary and tubes




Recurrent Mucinous Adenocarcinoma of colon

Image
Presentation


26 years old lady presented in August 2010 with complaints of lower abdominal pain off and on for 1 year. She also had H/o 2-3 kg weight loss in three months. There was no h/o loss of appetite, no h/o bleeding P/R, No h/o altered bowel habit
CECT scan abdomen showed large polypoidal mass in ileoceacal region. She underwent
Right hemicolectomy in August 2010.  H/P examination revealed  Moderately differentiated mucinous adenocarcinoma pT3N1MxTumor was reaching up to serosa, LN mets present (7/13)Proximal & distal resection margin was free from tumor. After this the patient received chemotherapy from September 2010 to march 2011During follow up of 26 months patient was normal clinically. PET-CECT scan done 6 monthly and serum-CEA done 3 months intervals was normal. During follow up September 2012 serum-CEA rose to 8.6 . PET-CECT scan, UGI endoscopy, Colonoscopy Normal, Repeat in December 2012 s-CEA was17.0.  PET-CECT scan showed FDG avid heterogenous enhancing hypodense le…