Most common presentation of carcinoma of the right colon:
Correct Answer: Anaemia
Description: Ans: a (Anaemia) Ref: Bailey, 24th ed, p. 1178Carcinoma colon is usually asymptomatic and may present as anaemia in locally advanced cases.Macroscopic varieties:annular type : most common symptom is obstructivetubular : most common symptom is bleedingulcerative: most common symptom is bleedingcauliflower type: least malignantcarcinoma colon occurs more commonly on the left side and the rectum.Most common site-Rectosigmoid junction- 59%RectumSigmoid colonTNM staging Ca right colonCa left colonUsually presents lateUlcerate with chronic insidious blood loss- leading to anaemia anaemia> fatigue> mass RIFMore well formed stools than right -so obstructiveAlteration of bowel habits > palpable lump > abdominal distension with pain.Ca sigmoidPain usually colicky from onsetTenesmus Bladder symptoms- This is not uncommon and may sometimes lead to colovesical fistula- (Bailey, 24th ed, p. 1178)Risk factors for the development of colorectal cancerDiet: Animal fatHereditary syndromes (autosomal dominant inheritance)Polyposis coliNonpolyposis syndrome (Lynch syndrome)Inflammatory bowel diseaseUreterosigmoidostomyTobacco use
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now