Preoperative radiation as part of a multidisciplinary strategy for a medically inoperable patient with a bleeding colon cancer
| Autor: | Steven J. Nurkin, Neha L Lad, June S. Peng, David M. Mattson, Edward Spangenthal |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Bare-metal stent medicine.medical_specialty Exacerbation Colorectal cancer medicine.medical_treatment Deep vein Coronary artery disease 03 medical and health sciences 0302 clinical medicine medicine Humans Colectomy Aged 80 and over Heart Failure Patient Care Team Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions business.industry General Medicine medicine.disease Combined Modality Therapy Thrombosis Neoadjuvant Therapy Surgery Radiation therapy medicine.anatomical_structure 030220 oncology & carcinogenesis Heart failure Colonic Neoplasms Stents 030211 gastroenterology & hepatology Gastrointestinal Hemorrhage Tomography X-Ray Computed business |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2019-229488 |
| Popis: | An 84-year-old man with a history of deep vein thrombosis on warfarin and coronary artery disease presented with haematochezia and was diagnosed with an ascending colon cancer. He was short of breath with lower extremity oedema at the initial surgical consultation. Evaluation revealed an acute exacerbation of congestive heart failure, and further workup and treatment were recommended by the cardiology team. After multidisciplinary discussion, he underwent radiation for the control of bleeding, followed by cardiac catheterisation and placement of a bare metal stent. The patient subsequently underwent robotic-assisted right hemicolectomy. Pathology demonstrated a complete response, and the patient recovered uneventfully. He is alive swith no evidence of disease recurrence 12 months after surgery and 18 months after initial diagnosis. |
| Databáze: | OpenAIRE |
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