Keywords
Intestine large
Colonoscopy
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Abstract
Objective: Present a clinical case of a patient who presented with a synchronous colon tumor, as well as make a brief literary review on the topic. In addition, describe other diagnostic strategies that could have been performed to optimize treatment conduction. Case Details: This is a case report based on a medical record analysis of a 70-year-old male patient who underwent a left colectomy in 2024, due to a colon tumor that was diagnosed through an incomplete colonoscopy. Therefore, it is only intraoperatively that a synchronous tumor can be diagnosed, that is, there were two intestinal tumor masses. Final Considerations: In view of the case reported, it is clear that an incomplete study of the colon impairs the diagnosis of this pathology, therefore, an inventory of the abdominal cavity must always be carried out in surgeries that explore this body segment, as well as using modern diagnostic instruments such as computed tomography colonography, if available.
References
BEDNARSKI BK. Surgical resection of primary colon cancer. UpToDate, 2024.
GANNON CJ, et al. Advanced proximal colon cancer: Paucity of distal lesions validates screening colonoscopy. Surgical Endoscopy and Other Interventional Techniques, 2002; 16(3):446–9.
GONÇALVES LI, et al. Rastreamento, diagnóstico e estadiamento do adenocarcinoma de cólon. BVS, 2018.
HORESH N, et al. Trends in management and outcomes of colon cancer in the United States over 15 years: Analysis of the National Cancer Database. International Journal of Cancer, 2024.
INCA. Câncer de cólon e reto, 2023. Disponível em: https://www.gov.br/inca/pt-br/assuntos/cancer/numeros/estimativa/sintese-de-resultados-e-comentarios/cancer-de-colon-e-reto. Acesso em: 1° de jul. 2024.
JÚNIOR JCMS. Tratamento cirúrgico do câncer obstrutivo do intestino grosso. Revista Brasileira de Coloproctologia, 2002; 22(1):43–54.
JUNIOR OFR, et al. Tumor sincrônico de colon e íleo. Revista da Faculdade de Ciências Médicas de Sorocaba, 2016; 18(Supl.):65.
LAM AKY, et al. Synchronous colorectal cancer: Clinical, pathological and molecular implications. World J Gastroenterol, 2014; 20(22):6815–20.
LEKSOWSKI K, et al. Computed tomographic colonography in preoperative evaluation of colorectal tumors: A prospective study. Surgical Endoscopy, 2011; 25:2344–9.
MACIEL AC, MACIEL LC. Colonografia por tomografia computadorizada: Um método de rastreamento conhecido, porém pouco utilizado. Radiologia Brasileira, 2014; 47:213–20.
MACRAE FA, et al. Apresentação clínica, diagnóstico e estadiamento do câncer colorretal. UpToDate, 2023.
MOORE KL, et al. Moore anatomia orientada para a clínica. 7. ed. Rio de Janeiro: Guanabara Koogan; 2014.
NAHAS SC, et al. Colonoscopia como método diagnóstico e terapêutico das moléstias do intestino grosso: Análise de 2.567 exames. Arquivos de Gastroenterologia, 2005; 42(2):77–82.
OVERMAN MJ. Overview of the management of primary colon cancer. UpToDate, 2024.
REILLY JC, et al. Colonoscopy: Its role in cancer of the colon and rectum. Revista Diseases of the Colon & Rectum, 1982; 25:532–8.
SABISTON DC, et al. Sabiston tratado de cirurgia: a base biológica da prática cirúrgica moderna. 20. ed. Rio de Janeiro: Guanabara Koogan; 2019.
SANTOS JA, et al. Câncer colorretal - uma revisão abrangente sobre a epidemiologia, fatores de risco, fisiopatologia, diagnóstico e tratamento. Brazilian Journal of Health Review, 2024; 7(2):e68695.
SOCIEDADE BRASILEIRA DE COLOPROCTOLOGIA (SBCP). Rastreamento com colonoscopia possibilita diagnosticar lesões antes que possam evoluir para câncer de intestino. 2022.
SHEAD DA, et al. Rastreio de câncer colorretal. National Comprehensive Cancer Network, 2021.
TATE JJT, et al. Pre-operative or postoperative colonic examination for synchronous lesions in colorectal cancer. British Journal of Surgery, 2005; 75(10):1016–8.