colon cancer

Question 1

mx?

Answer 1

Surgical resection
+ post op chemo

stage 4:
preop chemo + resection + post op chemo

if cant have surgery:
chemo

Question 2

presentation

Answer 2

alasdair scott page 55

Question 3

ivx?

Answer 3

PR exam

FBC - anaemia

Double contrast eneme - apple core lesion

Colonoscopy: ulcerating or exophytic mucosal lesion that may narrow the bowel lumen

CT colon: shows same as above

CT chest, abdo, pelvis - staging

CEA - measure after diagnosis!