]> 2026-07-31T07:52:17+00:00 WBR0826 0 en End polypectomy with radical surgery End polypectomy without radical surgery '''Incorrect'''-Polypectomy with or without radical surgery is for stage 0 colon cancer. Right colectomy with ileo-colic anastomosis '''Incorrect'''-Surgery alone is for stage 1 colon cancer. '''Correct'''-The line of treatment for this stage 3 patient will be surgery with chemotherapy and a post operative follow up that includes<br> <br> 1. CEA monitoring every 3 months until 3 years<br> 2. Colonoscopy at 1 year, 3 years and 5 years<br> 3. Abdomen and chest CT every year until 3 years<br> Right colectomy with a ileo-colic anastomosis and chemotherapy alone without post operative follow up '''Incorrect'''-Right colectomy with a ileo-colic anastomosis and chemotherapy alone without a post operative follow up is not the appropriate line of management for colon cancer, since they have a higher probability for recurrence. Inpatient Facilities Vendhan Ramanujam A 38 years old Caucasian male is admitted following complaints for 2 months history of diarrhea. It is associated with abdominal pain, progressing from the upper to the lower abdomen, and weight loss. The patient has no previous history of similar illness or surgery. He denies alcohol or tobacco use. His vital signs are heart rate 82 beats/min, respiratory rate 16/minute, blood pressure 110/70 mm Hg and oral temperature 37.2 C. Physical examination revealed a distended abdomen with increased bowel sounds and a palpable mass at the left lower quadrant of the abdomen. Routine laboratory tests revealed no alterations in the principal biochemical parameters, except for the levels of the following tumoral markers:<br> <br> CA 19-9 = 85.7 U/ml (normal value: up to 37 U/ml)<br> CEA = 13.7 ng/ml (normal value: up to 3 ng/ml)<br> CA 50 = 51.3 U/ml (normal value: up to 19 U/ml)<br> <br> Abdominal USG revealed a mass of 9 × 5 cm of mixed echogenicity in the proximity of the sigmoid colon with some hypoechoic lymph nodes of increased volume in the adipose adjacent tissue. It was followed by colonscopy with biopsy, where a polypoid vegetating mass, involving the 2/3 of the intestinal circumference was found in the caecum. Histopathological examination of the mass showed microscopic aspects of adenocarcinoma. The abdominal CT with intravenous contrast showed the mass with an increase in the volume of mesenteric lymph nodes. What will be the line of management in this patient? D Gastrointestinal Surgery 2020-10-28T01:48:24Z 2459150.5752778 WBR0826