cancer colon 68yr

Question 1

task

Answer 1

40
EXPLAIN 5C
cause
commonality

Question 2

what will happen if surgery not performed

Answer 2

1.What symptoms
-changre in bowel habits diarrhoea constipation
-bleeding
-int obstruction(with competent ileocaecal valve rupture of caecum canoccur)>urgent operation>colostomy maybe needed
-tiredness, weakness ida
2.Spread of tumour?
-Direct invasion-through mucoas>peritoneal deposits
-Lymphatic: worsens prognosis, by epicloic, paracolic, preaortic
-blood spread : via portal system
3.Prognosis after resection (depend on dukes)
-A : Mucosa 95percent
-B : muscle 75-80
- C : lymph node 50 percent survival
D : peritoneal, blood : 25 to35 percent

Question 3

mx

Answer 3

1. SURGERY
   -elective surgery is best prospect of cure
   -if colostomy only temporary
   2.adjuvant chemotherapy
   -shown to improve survival
   prepop ix need to be checked for anemia anr rft
   -CT intraabdominal spread>to see if curative resection possible
   -perioperstive prophylactic antibiotics

Answer 4

key point pt requires URGENT SURGERY