Download FREE Practo app
Get ₹200 HealthCash
Sigmoid colon cancer
My father has left main triple vessel coronary artery disease, his Haemoglobin went down to 6.80, when did endoscopy and colonoscopy, it was found that he has tumor and it is sigmoid colon cancer which is in stage 4. How should we proceed in this case?
IMPRESSION:
• Redundant sigmoid colon with approx. 6.5-7 cm segment of sigmoid showing heterogeneously
enhancing asymmetric wall thickening measuring ~ 1.8 cm in maximum thickness. Significant
pericolonic nodularity and small nodular deposits noted adjacent to involved segment.
• Few enlarged heterogeneously enhancing pericolonic nodes as mentioned.
Features suggests malignant neoplastic pathology with omental deposits and metastatic nodes as
mentioned.
Hello. We should proceed with a biopsy from the sigmoid mass/ omental deposit.
After confirming the malignancy- an MSI testing should be done on the biopsy & KRAS and BRAF genetic testing.
Now for the treatment part- he needs to be assessed if he's in obstruction or not.
If in obstruction- we might need a diversion colostomy followed by chemotherapy/ immunotherapy depending on his MSI status.
If not in obstruction- proceed with chemo/ immunotherapy depending on the MSi status
Answered
Let others know if this answer was helpful
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Articles you may like
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.