2 in 1: Which one to remove?
Synchronous primary appendiceal tumor in colorectal cancer is very rare. Unexpected appendicular neoplasm diagnose intraoperatively pose a management dilemma. Case Summary: This is a 68 years old gentleman with underlying diabetes, hypertension and history of stroke 3 years ago with right hemip...
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| Format: | Conference or Workshop Item |
| Language: | English English |
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2015
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| Online Access: | http://irep.iium.edu.my/58386/ http://irep.iium.edu.my/58386/ http://irep.iium.edu.my/58386/13/58386-abstract.pdf http://irep.iium.edu.my/58386/1/poster%202%20in%201.pdf |
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iium-58386 |
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eprints |
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iium-583862017-09-26T07:11:32Z http://irep.iium.edu.my/58386/ 2 in 1: Which one to remove? Mahno, Noor Ezmas Ong, David B, Mohd Nurshamizam Mohd Nor, Azmi RD Surgery Synchronous primary appendiceal tumor in colorectal cancer is very rare. Unexpected appendicular neoplasm diagnose intraoperatively pose a management dilemma. Case Summary: This is a 68 years old gentleman with underlying diabetes, hypertension and history of stroke 3 years ago with right hemiplegia presented with per rectal bleeding for 2 weeks. Colonoscopy found clinically obstructing tumor at rectosigmoid junction and biopsy of the tumor came back as moderately differentiated adenocarcinoma. CT scan for staging showed no distant metastasis. After discussing option with family, we decided to proceed with surgery. Intraoperatively, we found a huge rectosigmoid tumor with multiple mucinous cysts around it. We also found a bulky appendix (1.5cm) with healthy base. We did appendicectomy, resected the rectosigmoid tumor with good oncologic margin and brought out the descending colon as stoma. He recovered and discharged well. Surprisingly, the rectosigmoid tumor was moderately differentiated adenocarcinoma (not otherwise specific) with good surgical margin and staging as pT2N0Mx. The appendix’s histology reported as mucinous adenocarcinoma with involved surgical margin and presence of metastatic tumor deposit on the pericolic fat and serosal layer of the rectosigmoid specimen. The appendiceal tumor staging was pT4Nx M1. The family was not keen for another surgery so we had a close follow-up for recurrence and oncology referral for chemoradiation therapy 2015 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/58386/13/58386-abstract.pdf application/pdf en http://irep.iium.edu.my/58386/1/poster%202%20in%201.pdf Mahno, Noor Ezmas and Ong, David and B, Mohd Nurshamizam and Mohd Nor, Azmi (2015) 2 in 1: Which one to remove? In: Coloproctology 2015 International Scientific Meeting, 12th-15th March 2015, Melaka. (Unpublished) http://colorectalmy.org/Coloproctology2015/download/Coloproctology2015_SPAB.pdf |
| repository_type |
Digital Repository |
| institution_category |
Local University |
| institution |
International Islamic University Malaysia |
| building |
IIUM Repository |
| collection |
Online Access |
| language |
English English |
| topic |
RD Surgery |
| spellingShingle |
RD Surgery Mahno, Noor Ezmas Ong, David B, Mohd Nurshamizam Mohd Nor, Azmi 2 in 1: Which one to remove? |
| description |
Synchronous primary appendiceal tumor in colorectal cancer is very rare. Unexpected
appendicular neoplasm diagnose intraoperatively pose a management
dilemma.
Case Summary:
This is a 68 years old gentleman with underlying diabetes, hypertension and history of
stroke 3 years ago with right hemiplegia presented with per rectal bleeding for 2 weeks.
Colonoscopy found clinically obstructing tumor at rectosigmoid junction and biopsy of
the tumor came back as moderately differentiated adenocarcinoma. CT scan for staging
showed no distant metastasis. After discussing option with family, we decided to proceed
with surgery.
Intraoperatively, we found a huge rectosigmoid tumor with multiple mucinous cysts
around it. We also found a bulky appendix (1.5cm) with healthy base. We did appendicectomy,
resected the rectosigmoid tumor with good oncologic margin and brought out
the descending colon as stoma. He recovered and discharged well.
Surprisingly, the rectosigmoid tumor was moderately differentiated adenocarcinoma (not
otherwise specific) with good surgical margin and staging as pT2N0Mx. The appendix’s
histology reported as mucinous adenocarcinoma with involved surgical margin and presence
of metastatic tumor deposit on the pericolic fat and serosal layer of the rectosigmoid
specimen. The appendiceal tumor staging was pT4Nx M1. The family was not
keen for another surgery so we had a close follow-up for recurrence and oncology referral
for chemoradiation therapy |
| format |
Conference or Workshop Item |
| author |
Mahno, Noor Ezmas Ong, David B, Mohd Nurshamizam Mohd Nor, Azmi |
| author_facet |
Mahno, Noor Ezmas Ong, David B, Mohd Nurshamizam Mohd Nor, Azmi |
| author_sort |
Mahno, Noor Ezmas |
| title |
2 in 1: Which one to remove? |
| title_short |
2 in 1: Which one to remove? |
| title_full |
2 in 1: Which one to remove? |
| title_fullStr |
2 in 1: Which one to remove? |
| title_full_unstemmed |
2 in 1: Which one to remove? |
| title_sort |
2 in 1: which one to remove? |
| publishDate |
2015 |
| url |
http://irep.iium.edu.my/58386/ http://irep.iium.edu.my/58386/ http://irep.iium.edu.my/58386/13/58386-abstract.pdf http://irep.iium.edu.my/58386/1/poster%202%20in%201.pdf |
| first_indexed |
2023-09-18T21:22:33Z |
| last_indexed |
2023-09-18T21:22:33Z |
| _version_ |
1777411978958995456 |