Colorectal cancer is the third most common cancer in men and the second in women worldwide. It is also the fourth main cause of death globally. Nearly 55% of cases occur in more developed regions and risk increases significantly with age. The main risk factors include family history, diet high in fat/meat and low in fiber, smoking, and lack of physical activity. Screening methods include colonoscopy, sigmoidoscopy, and stool tests. Treatment involves surgical resection of the tumor along with lymph nodes, while chemotherapy may be recommended after for more advanced stages to improve survival rates.
CARCINOMA ESOPHAGUS - DR ZAHID IQBAL MIR
Dr. Zahid Iqbal Mir, MBBS MS (General Surgery), DNB (General Surgery) has done his MBBS and masters in General Surgery from the prestigious Govt Medical College Jammu and DNB in General Surgery from NBEMS New Delhi. He is a passionate surgeon, earlier practising at Government Medical College, Jammu as Registrar in Department of General Surgery. Nowadays working as Senior Resident in Department of General Surgery, Government Medical College & Hospital, Sector 32, Chandigarh and a rising name in field of surgery.
He is an enthusiastic, enigmatic and dedicated teacher as well. He is not just a resolute learner, but also an awe inspiring guiding light for his juniors, which makes him the most loveable and respected senior.
Currently he is running “LOVE FOR SCALPEL” for PGMEE aspirants on most of the social platforms, which is gaining immense popularity among residents, medical graduates and undergraduates.
I and 4 other classmates researched Colorectal Cancer, commonly called Colon Cancer, and presented before our class about what we learned. Our presentation covered the pathophysiology, epidemiology, risk factors, screenings, signs and symptoms, assessments and diagnostic tests, diagnostic criteria, treatments, and article on evidence based practices.
CARCINOMA ESOPHAGUS - DR ZAHID IQBAL MIR
Dr. Zahid Iqbal Mir, MBBS MS (General Surgery), DNB (General Surgery) has done his MBBS and masters in General Surgery from the prestigious Govt Medical College Jammu and DNB in General Surgery from NBEMS New Delhi. He is a passionate surgeon, earlier practising at Government Medical College, Jammu as Registrar in Department of General Surgery. Nowadays working as Senior Resident in Department of General Surgery, Government Medical College & Hospital, Sector 32, Chandigarh and a rising name in field of surgery.
He is an enthusiastic, enigmatic and dedicated teacher as well. He is not just a resolute learner, but also an awe inspiring guiding light for his juniors, which makes him the most loveable and respected senior.
Currently he is running “LOVE FOR SCALPEL” for PGMEE aspirants on most of the social platforms, which is gaining immense popularity among residents, medical graduates and undergraduates.
I and 4 other classmates researched Colorectal Cancer, commonly called Colon Cancer, and presented before our class about what we learned. Our presentation covered the pathophysiology, epidemiology, risk factors, screenings, signs and symptoms, assessments and diagnostic tests, diagnostic criteria, treatments, and article on evidence based practices.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. Gastroenterology
Dalia Cosio Benson
C O L O R E C TA L C A R C I N O M A
U N I V E R S I D A D A U T Ó N O M A D E B A J A C A L I F O R N I A
E S C U E L A D E C I E N C I A S D E L A S A L U D
2. E P I D E M I O L O G Y
CRC is the 3th most common cancer in men, and the 2nd in women worldwide.
It is the 4th main cause of death (after stomach, liver and lung)
G L O B O C A N 2 0 1 2
( I A R C )
3. E P I D E M I O L O G Y
M E N W O M E N
3O
2O
G L O B O C A N 2 0 1 2
( I A R C )
4O
4O
Incidence and mortality rates
4. EPIDEMIOLOGY
Almost 55% of the cases occur in more developed regions.
Age impacts CRC incidence more than any other demographic factors.
G L O B O C A N 2 0 1 2
( I A R C )
5. E T I O L O G Y
Familial adenomatous polyposis (FAP)
Inherited
predisposition
Constitutes 1% of all CRC incidence. Hundreds to
thousands of colonic polyps that develop in patients
in their teens to 30s, and if the colon is not
surgically removed, 100% of patients progress to
CRC.
The particular association of brain tumors and
colonic polyposis is called Turcot syndrome
Attenuated APC (AFAP) is a subtype of a condition
known as FAP.
Hereditary nonpolyposis CRC (HNPCC) accounts
for about 3% of all CRCs.
A variant of HNPCC involves skin tumors and is
designated as Muir-Torre syndrome.
Hamartomatous polyposis syndromes are rare
syndromes, mostly affecting the pediatric and
adolescent population, and represent <1% of CRCs
annually.
6. E T I O L O G Y
It is strongly suggested that the lifestyle and environment plays a very important role for the
development of this disease.
Environmental
factors
High fat and meat
intake
increases bile acid
synthesis and
cholesterol
Higher amounts of
sterols in the colon
convert them into secondary bile
acids, cholesterol metabolites and
other toxic metabolic components
Bacterias
7. E T I O L O G Y
Fiber
A high-fiber diet was believed to dilute fecal
carcinogens, decrease colon transit time, and
generate a favorable luminal environment
Calcium and
Vitamin D
Calcium have a protective effect, for its ability
to bind injurious bile acids with reduction of
colonic epithelial proliferation.
D Vitamine: inhibit cell proliferation and
increase apoptosis.
Nonsteroidal Anti-
Inflammatory Drugs
(NSAIDs)
Studies Case-Control and cohort studies have
shown a 40-50 % reduction in the mortality of
colorectal Ca in people taking aspirin and other
NSAIDs.
8. E T I O L O G Y
Probable causes Posibles causes Probable
protectors
Posibles
protectors
• High fat and low fiber
intake
• Red meat intake
• Beer intake (specially
for rectal carcinoma)
• Smoking
• Diabetes mellitus
• Enviromental
carcinogens
• Aminas
• Low intake of dietary
selenium
• Aspirins, NSAIDs,
COX-2
• Calcium
• Hormone replacement
(estrógens)
• Low Comporal Mass
Index
• Physical activity
• Foods with higth levels
of carotenes
• Higth fiber diet
• C and E Vitamin
• D Vitamin
• Vegetables (yellow and
green crucíferous)
10. PAT H O G E N E S I S
Colorectal tumors resulting from a sequence of accumulations (over several years) of genetic and
molecular alterations, causing normal epithelium becomes a intraepithelial neoplasia ( dysplasia ) and
then a malignant epithelium
11. L O C AT I O N S C R C
Ascending colon
and cecum 25%
Transverse colon
15%
Descending
colon 5%
Sigmoid colon
25%Rectum 20%
Rectosigmoid
junction 10%
12. Abdomial pain
Colorrectal Ca grows slowly and may present symptoms until 5 years after the start of it.
Asymptomatic people with cancer often presents fecal occult blood, and bleeding increases by
tumor size and the degree of ulceration.
Proximal colon cancers usually grow larger than the left and rectum before they clinical
presentation or symptoms.
C L I N I C A L P R E S E N TAT I O N
Lower GI bleeding
Change in bowel habits
Change in appetite
Weakness
Obstructive
symptoms
Weight loss
Bleeding GI
13. C L I N I C A L P R E S E N TAT I O N
Palpable mass, bright blood per rectum left-
sided colon cancers or rectal cancer
Melena (right-sided colon cancers)
Lesser degrees of bleeding (hemoccult-positive
stool)
Physical examination
Metastatic disease
Adenopathy
Hepatomegaly
Jaundice
Pulmonary signs
14. Obstruction is usually…
Sigmoid of left colon
Abdominal distention and
constipation.
C L I N I C A L P R E S E N TAT I O N
Complications
Acute GI bledding
Perforation
Metastasis
Impairment of distant organ function
15. DIAGNOSIS LABORATORY
May reflect:
• Iron- deficiency anemia
• Electrolyte derangements
• Liver function anormalities
Carcinoembryonic antigen (CEA)
Elevated
Helpful to monitor postoperative patients (if
reduced to normal as a result of surgery)
Evaluation include:
Complete history
Family history
Physical examination
Laboratory test
Colonoscopy
CT scan
16. DIAGNOSIS SCREENING : colonoscopy
The most sensitive method for screening
Adventages
Direct visualization
Ability to remove
Obtain biopsies
Disadventages
Preparation
Invasive nature of procedure
Side affects (perforation <15%)
17. DIAGNOSIS SCREENING FOR CRC
DIGITAL RECTAL
EXAMINATION
Part of general physical
examination
Palpable anorectal
masses
FLEXIBLE
SIGNMOIDOSCOPY
Allow visualization of :
Rectum,
Sigmoid colon
Descending to the
splenic flexure
BARIUM ENEMA
Allow visualization of entire
colon
Easy preparation
Lack of conscious
sedation
Ability to visualize polyps
and masses
20. STAGING AND PROGNOSIS
Prognostic factors influencing survival in CRC patients include depth of
tumor invasion into and beyond the bowel wall, the number of
involved regional lymph nodes, and the presence or absence of
distant metastases
21. Average 5-year survival:
- T1, N0: 97%
- T2, N0: 85- 90%
With a single high-risk of extension:
- T3- 4, N0 or involved nodes: 65- 75%
Both higth-risk
- T3, N+: 50%
- T4, N+: 35%
* Adjuvant treatment is recommended.
STAGING AND PROGNOSIS
23. TREATMENT Surgery
Primary treatment modality for patients with colonic tumors
Curative is possible in 75% of
patients
Sufficient lengths of bowel must be
resected proximal and distal to the
primary cancer
Resection includes removal of the
major lymphatic drainage system
24. Adjuvant chemotherapy
Stage I y 0: Not requires
Stage II: benefits in patients is more controversial.
Stage III: The benefit of adjuvant chemotherapy has been
clearly demostrated
25. Bartlett D, Di Bisceglie A, Dawson L. Cancer of the Liver . En: De Vita, Hellman, Rosenberg.
Cancer, principles & practice of oncology. 10th edición. Philadelphia: Lippincot Williams;
2012.
GLOBOCAN 2012 (IARS). Organización Mundial de la Salud.
Joo Hee, K., et al. (2007). Imcomplete colonoscopy in patinets with occlusive colorectal cancer:
usefulness of CT colonography accorging to tumor location. Yonsei College og Medicine 48(6).
Obtenido de:
http://synapse.koreamed.org/DOIx.php?id=10.3349/ymj.2007.48.6.934&vmode=PUBREADER
Ignatov, V., Kolev N., Tonev A. (2014).Diagnostic modalities in colorectal cancer- endoscopy, CT and
pet scanning, MRI, endoluminal ultrasound and intraoperative ultrasound. Varna Bulgaria. Obtenido
de: http://www.intechopen.com/books/colorectal-cancer-surgery-diagnostics-and-
treatment/diagnostic-modalities-in-colorectal-cancer-endoscopy-ct-and-pet-scanning-magnetic-
resonance-imaging-
B I B L I O G R A P H Y
Editor's Notes
By genders….
…. Generally, cancer incidence and mortality rates have been higher in economically advantaged countries…
…. sporadic CRC increases dramatically above the age of 45 to 50 years for all groups.
It is divide to genetic and environmental rick factor….
Incluimos los factores de riesgo de estilo de vida y ambientales
Las neoplasias colorrectales resultan de una secuencia de acumulaciones (durante varios años) de alteraciones genéticas y moleculares, provocando que un epitelio normal se transforme en una neoplasia intraepitelial (displasia) y después en un epitelio maligno.
Ca correctal crece lentamente y puede presentarse lo síntomas hasta 5 años después del comienzo de éste.
Las personas asintomáticas con cáncer frecuentemente presenta sangre oculta en heces, y el sangrado aumenta con el tamaño del tumor y con el grado de ulceración.
Los cánceres del colon proximal usualmente crecen más que los del colon izquierdo y recto antes de que presentan síntomas.
This is a barium enema, that shows a colon carcinoma in the recto-sigmoid flexure. We can see a «subtraction imagen»
1.- A 39 years old woman with mid transverse colon cancer. Axial CT reveals irregullar wall infiltration (arrow).
2.- Virtual colonoscopy – a view of pediculaneted polypus and a small carcinoma
3.- 3D reconstruction
4.- *RM: is superior to CT detecting liver metastasis
MRI.- view of T-3 carcinoma and the reconstruction after real time software rendering.
Resection type depends on the location of the tumor more than the stage*