Oncopoisk using computed tomography. MCSC patient history

News 01/30/2020

The MCSC was contacted by a patient aged 64 years. He complained about:

• increase in the volume of the abdomen;
• weakness;
• fatigue;
• liquid stools up to 4 times a day;
• rapid weight loss.

For 20 years, a man has been observed in a polyclinic with a diagnosis of "liver cirrhosis of alimentary etiology".  But, recently, he began to notice increasing weakness and diarrhea. During the examination at the place of residence, clinical tests and ultrasound were performed. It showed an increase in the volume of the abdominal organs and increased pressure in the main vein of the liver.

Based on the diagnosis, the subject was sent to the MCSC named after A. S. Loginov to clarify the disease and correct therapy. After being hospitalized in the center, he was re-performed an ultrasound of the abdominal organs. According to the results of the study, it was revealed:

• the presence of free fluid in the abdominal cavity;
• enlargement of the liver and diffuse-focal changes in it;
• dilation of the portal and splenic veins;
• enlargement of the spleen.

The patient lost 7 kilograms in the last six months. Taking into account this fact, the doctors of the center decided to perform a multispiral computed tomography of the abdominal organs (MSCT OBP) with intravenous contrast to exclude liver cancer - hepatocellular carcinoma.

The resulting picture with MSCT OBP showed a man with cirrhosis of the liver with increased pressure in the portal vein. But the "accidental" finding was a thickening of the walls of the ascending colon. A malignant formation was formed on them.

 

The patient underwent colonoscopy of the large intestine with a biopsy. The study showed that he had a circularly located tumor that narrowed the lumen of the ascending colon. The resulting tumor samples were sent for verification for diagnosis. She confirmed a malignant process in the large intestine - adenocarcinoma of the ascending colon.

This case was discussed at the oncoconsilium, where it was decided to perform an operation to remove the right half of the colon. Specialists of our Center have selected postoperative treatment aimed at reducing the risk of relapses of this disease and improving the quality of life. The patient was discharged from the hospital on the 10th day in a satisfactory condition under the supervision of a surgeon, oncologist.

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