Patient’s Chief Complaint My colon cancer is back, I’ve had another surgery, and I’m ready to start another round of chemotherapy.

Patient’s Chief Complaint My colon cancer is back, I’ve had another surgery, and I’m ready to start another round of chemotherapy." HPI Dr. H.U. is a 53-year-old Asian American male, who was diagnosed with colon cancer 18 months ago. He had been completely asymptomatic until the onset of RLQ discomfort. Four days after the initial onset of symptoms, he experienced severe abdominal pain (9/10 on the standard pain scale) and presented at the emergency room. An abdominal CT scan revealed a mass in the RLQ involving the colon. A 4.5- ci tumor was surgically resected and all signs of visible disease were cleared. There was no sign of liver or lung involvement on CT scan or upon gross examination by he surgical team. Abdominal lymph nodes were biopsied to determine the extent of the disease. The pathology report revealed that the colon tumor was a poorly differentiated adenocarcinoma. The tumor had penetrated deep through the entire width of the wall of the ascending colon and perforated the visceral peritoneal membrane. Extent of the cancer was consistent with stage IIB.

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