Primary Site | Cecum | |
Physical Exam | 09/19/XX |
Findings: Anemia, episode of dizziness and blurred vision. Abdomen: Large, non-tender, somewhat movable mass in the right lower quadrant |
X-Rays & Scans | 09/25/XX |
BE: 3 x 7 cm mass arising from lateral aspect of cecum which is considered to be carcinoma. |
Scopes | None | |
Laboratory |
|
None |
Operative Findings | 10/05/XX |
Right colectomy: Large tumor occupying the entire cecum and the distal 2-3 cm of the ileum. Invading lateral peritoneum and retroperitoneal space posterior to cecum. Rt. lobe of liver not palpated, left lobe free of tumor. |
Pathological Reports | 10/05/XX |
Gross: Right colon. Micro: Ulcerated poorly diff. adenoca of cecum showing transmural extension into serosal adipose tissue. Extension into adjacent ileum, infiltration of lymphatics and mets to 1/4 mesenteric and 4/18 mesocolic LNs. |
Treatment | 10/05/XX | Surgery: Right colectomy. |
10/20/XX | Chemotheropy: Began FOLFOX4 (oxaliplatin, fluorouracil, leucovorin) |