Curr Health Sci J ; 38 1 :Jan.
Source: Romanian Colorectal cancer recurrence of Medical Practice. We have analyzed the case of a year old patient with rectal bleeding, diarrhea, and rectal tenesmus.
Colorectal Cancer in young adults: A patient's story
The colonoscopy revealed a rectal tumor colorectal cancer recurrence at 10 cm from anal-rectal limit. A biopsy was taken from the tumor: moderately differentiated adenocarcinoma. CEA and CA There was performed rectal resection with end-to-end colonic - rectal anastomosis with Stapler Postoperatively, pathological examination: rectal adenocarcinoma NOS with low degree of malignancy G2 - moderately differentiated, diffuse infiltration to the musculature, without metastasis in regional nodes only identified 5completely excised surgically - it was classified as pT2pNo G2 colorectal cancer recurrence.
Postoperatively, the patient did not perform oncology treatment. Colonoscopy which was performed 1 year after surgery, revealed a bleeding tumor located at the anastomosis level. Biopsies were taken from the anastomosis tumor.
Some of these patients address the doctors in locally advanced stages, sometimes without the possibility to perform resection. Colorectal cancer recurrence challenge of the multimodal oncologic treatment of those patients is to obtain conversion towards resection, and also the decrease of the local recurrence, thus ensuring the increase of the long-term survival, targets which are often difficult to obtain. We present the case of a year-old patient with locally colorectal cancer recurrence rectal cancer, who benefitted from multimodal treatment: neo-adjuvant chemotherapy and radiotherapy, and also from surgical intervention. O parte dintre aceşti pacienţi se prezintă în stadii avansate local, uneori nerezecabile.
The result confirms the local recurrence of invasive adenocarcinoma. Milles rectum amputation is decided and practiced.
Viermi medicamente pentru oameni the patient performs oncological treatment. Preoperative staging is an important factor in determining the indication of radiotherapy.
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