Case 1 45 y male Large ulcer on right leg----4-5 months ON examination An ulcer measuring 4x6 cm on medial Aspect of right leg just above the ankle joint.

Slides:

Advertisements

Similar presentations

Colon, Breast and Lung Cancer

Advertisements

Pictorial lesson in GI Cancers

Clinical Case UZA Prof.dr.G. Hubens. Female, 30 yo august 2013: episode of food impaction and vomiting gastroscopy: food bolus at 30cm, thickening of.

AJCC Staging Moments AJCC TNM Staging 7th Edition Rectal Case #3 Contributors: J. Milburn Jessup, MD Cancer Diagnosis Program, DCTD, NCI, Rockville, Maryland.

Eugen Divjak Mentor: A. Žmegač Horvat

Undifferenciated sarcoma MH. Female 67 years old Weight loss 15 kg Self palpation a mass of proximal thight MH.

Lower Gastrointestinal NET Clinical case One patient and how many doctors ? Dimitrios Dimitroulopoulos MD, PhD Consultant Gastroenterology Dpt. “Agios.

 A 77-year-old comes to the ED with complaints of diarrhea, rectal pain and urgency for 3 days. His History is notable for Ischemic Heart disease, Hyperlipidemia,

Management of a rare type of Ca appendix Dr. Lam Tang Yu Tuen Mun Hospital Joint Hospital Surgical Grand Round.

Inflammatory Intestinal Diseases. Ulcerative Colitis Unknown etiology Mucosal inflammation and ulceration in the large intestine Always involves the rectum.

Martina Rastovac Mentor: A. Žmegač Horvat. Actor Patrick Swayze died after a 20-month battle with pancreatic cancer. He was 57.Patrick Swayze.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Johnathan l Hadley Affiliation: Eastern Virginia Medical School.

Tumors of the Small Intestine

KHANI.M,MD MEDICAL ONCOLOGIST&HEMATOLOGIST ISFAHAN BLOOD&CANCER INSTITUE

Colorectal cancer Khayal AlKhayal MD,FRCSC

DOWNSTAGING LOCALLY ADVANCED PANCREATIC ADENOCARCINOMA (LAPC) WITH VASCULAR ENCASEMENT USING PERCUTANEOUS IRREVERSIBLE ELECTROPORATION (IRE) NARAYANAN,GOVINDARAJAN;

Treatment of Early Malignant Rectal Polyp

Cancer of middle ear Chunfu Dai M.D & Ph.D. Background Primary tumor in middle cavity Primary tumor in middle cavity Predilection in y Predilection.

Bowel Cancer Alex Hill. Why screen for bowel cancer?  Bowel cancer causes deaths per yr  It may be detected at asymptomatic stage by simple, safe.

Colon Cancer Daniel A. Nikcevich, MD, PhD Duluth Clinic Cancer Center January 26, 2009.

Colorectal cancer Khayal AlKhayal MD,FRCSC Assistant professor of Surgery Consultant Colorectal surgeon 9/11/2015Shwartz.

Common small and large intestinal surgical diseases Part II

Not Simply an Ulcer. A 67-year-old woman experienced a sudden onset of right lower abdominal pain without other associated symptoms.

AJCC Staging Moments AJCC TNM Staging 7th Edition Supraglottic Larynx Case #2 Contributors: Jatin P. Shah, MD Memorial Sloan-Kettering Cancer Center, New.

Moderators: David Cort, MD Alex Denes, MD Panelists: Stephen Swisher, MD, PhD Edward Lin, MD.

1 CAP Audio Conference on the CMS 2009 Physician Quality Reporting Initiative Jonathan Myles, MD, FCAP College of American Pathologists December 17, 2008.

Change in bowel habits … 60 year old male Complains of progressive constipation for the past 6 months.

Renal tumours Dr. Hawre Qadir Salih.

CASE 1 65-year-old man No other diseases or previous surgeries July 2005: PSA 11.5 ng/ml; F/T: 9% After prostate biopsy revealing adenocarcinoma: RETROPUBIC.

Anal Cancer - Case 1  62 years old woman with 6 months history of anal pain  Clinically T 3 squamous cell carcinoma growing anteriorly  Which staging.

Tumor of Nasal cavity and Paranasal sinuses Tumor of Nasal cavity and Paranasal sinuses Department of Otolaryngology, Affiliated Ninth People ’ s Hospital.

Management & Treatment

LCC COL-1 See Pathologic Stage, Adjuvant Therapy, and Surveillance (LCC COL-3) Φ Φ Φ π π π Colon Cancer.

Anaplastic thyroid cancer based on ATA guideline for Management of Patients with ATC. Thyroid. 2012;22: R3 이정록.

Computed tomography following surgical resection of colorectal cancer: imaging features of normal postoperative changes, complications, and tumour recurrence.

Case 1 현 O 훈 (M/34). Diagnosis : Stomach, distal gastrectomy: Signet ring cell carcinoma 1) Location: Angle 2) Tumor gross type: Early.

Case 1. Diagnosis : A. Colon, transverse, mid, endoscopic mucosal resection: Tubular adenoma with low grade dysplasia with 1) Size: 1.2 x 1.0.

Kyung Hee University, Seoul, Korea GI Conference UGI Conference Presented by Byeong-Joo Noh Supervised by Youn-Wha Kim Kyung Hee University, Seoul, Korea.

Case 1. Diagnosis : Stomach, resection margin, proximal, FS-1, biopsy: No tumor Stomach, resection margin, distal, FS-2, biopsy: Adenocarcinoma Lymph.

R3 정상완. Introduction  EGC : Tumor invasion is limited to the mucosa or submucosa, regardless of lymph node involvement.  Accumulated histopathological.

 Increase in adenocarcinomas and decreasing squamous cell histology  Squamous cell associated with tobacco, diet (nitrosamines) and alcohol.

Kyung Hee University, Seoul, Korea Conference LGI Conference Presented by Byeong-Joo Noh Supervised by Youn-Wha Kim Kyung Hee University, Seoul, Korea.

Advanced Carcinoma of the cervix

Addition of Chemotherapy to Preoperative Radiotherapy Improves Outcomes in Rectal Cancer Slideset on: Bosset JF, Calais G, Mineur L, et al. Enhanced tumorocidal.

Case (II) Chemoresistant group. Case 6. F/41 Rt. breast cancer, 3 cycle NAC for 2 months (a) Indistinct margined, irregular shaped, hyperdense mass in.

Case. Kreem is 53 year old man who is quite healthy with no previous illness. He has noticed changes in his bowel habits for the last few months, with.

Crohn disease of the colon

Advanced loco regional Regional breast cancer

Fig. 1. A case of squamous cell carcinomas of the lung, which presented as multiple tracheobronchial polyps in a 61-year-old male.A. Initial CT without.

Dr.Amit Gupta Associate Professor Dept. of Surgery

Diagnosis: Gastric lymphoma (Burkitt’s lymphoma)

GIT BLOCK PATHOLOGY PRACTICAL Dr Abdullah Basabein

Stomach cancer Also called gastric cancer is cancer arising from stomach tissue.it is uncontrolled cell growth of stomach layers lead to dysfunction of.

An Unusual Presentation of Esophageal Cancer: A Case Report and Review of Literature. Abraham Yacoub M.D.1, Regina Frants, M.D., F.A.C.P.2, Leslie Bank,

Imaging of esophageal cancers

معيارهاي ارزشيابي برنامه ثبت سرطان دانشگاهي ارسال به موقع اطلاعات (هر سه ماه)(2) گردآوري از لحاظ پيدا كردن موارد جديد سرطاني از منابع ذيل: - ثبت.

NSABP Protocol C-08 Ming He MD.

Metastatic Breast cancer

Gastric Crohn's Disease: A Rare Cause of Intermittent Abdominal Pain and Vomiting Xu-Ting Zhi, MD, Jian-Guo Hong, MD, Tao Li, MS, Dong Sun, MS, De-Xin.

Differential Diagnosis of Colonic Strictures: Pictorial Review With Illustrations from Computed Tomography Colonography Daniel Wan, MD, Silvio G. Bruni,

POEM Group Online Case Discussion Date: April 1, 2014

RECTAL ENDOMETRIOSIS MIMICKING A RECTAL CANCER. A CASE REPORT

Sinonasal Tumours Otolaryngology Rhinology

Kalyana Lavu, Anil Minocha Gastroenterology

Multiple (type 3) cyst-related primary lung malignancies presenting as cystic airspaces with asymmetrical or circumferential wall thickening. a, b) A 52-year-old.

AN UNUSUAL CASE OF CHRONIC DIARRHOEA

Presentation transcript:

Case 1 45 y male Large ulcer on right leg months ON examination An ulcer measuring 4x6 cm on medial Aspect of right leg just above the ankle joint. There is discharge of pus and blood from The ulcer.

Case 1 Pathology: Squamous cell carcinoma Local Radiology: no bone involvement MRI Leg: an ulcerated area of 4x4 cm Staging tests--?

Case 1 3 cycles of CF given. Remarkable response seen. Complete clearance of ulcerated wound followed by re-epithelization and scab formation.

Case 1

further treatment--? Surgery---? Radiotherapy--? Further cycles of chemotherapy----?

Case 2 50 y male Difficulty in passing stool months Colonoscopy—in sigmoid colon,circumferential mass with friable mucosa causing narrowing of lumen,scope passed with difficulty.Rectum,ascending and descending colon normal. Biopsy taken.

Case 2 Pathology—Moderately differentiated adenocarcinoma CT Scan Abdomen:there is focal area of diffuse Circumferential thickening in the sigmoid colon Causing luminal narrowing and pericolonic Infiltration.It is measuring 8cm in length and 2.4cm in maximum wall thickness.

Case 2 Surgery: Tumor site----sigmoid colon Size of tumor---7.5x3.5cm Specimen dimension---22x6cm Procedure---abdominoperineal resection Specimen----sigmoid colon and rectum. Tumor configuration—exophytic polypoidal.

Case 2 margins: proximal margin---5 cm Distal margin---12 cm Mesentreric---9cm Perineural invasion—absent Lymphovascular invasion---absent All 15 nodes---negative

Case 2 Stage---pT3N0. Further Treatment-----?