Case 2 During a screening colonoscopy for a 40-year-old man, the doctor discover

Question

Case 2

During a screening colonoscopy for a 40-year-old man, the doctor discovers a flat cancerous polyp in the transverse colon. Histopathology of the removed polyp indicated that cancerous cells were present in the margin, suggesting that some of the polyp remained behind in the colon.

The doctor ordered an abdominopelvic CT scan and blood work, including liver function and a hematocrit. A surgical consult is recommended based on results of CEA test from the blood work.

Case 2 Question 1: What, specifically, is a polyp?

Case 2 Question 2: What are the lifestyle risk factors that can lead to growths in the large intestine?

Case 2 Question 3: The surgical consult recommends a bowel resection 15 centimeters in both directions from the site of the polyp. How much (what percentage) of the entire colon would be removed in this procedure?

Case 2 Question 4: Considering the full name of the molecule CEA, why is it a useful marker for cancer?

Explanation / Answer

Case 2 Q 1

Answer- It is an abnormal tissue growths of however its look like small, flat bumps/tiny mushroomlike stalks. It is not a excetly cancer but it have normal growth like cancer.

Case 2 Q 2

Answer- life style that may responsible to the polyp- Being overweight or obese, Heavy alcohol use, smoking, Certain types of diets ( high fat diet like pork) Physical inactivity etc.

Case 2 Q 3

Answer-

We will remove about 0.5 cm lenght of colon is about 150 cm it will be aprox 16 % of colon.

Case 2 Q4

Answer-

Carcinoembryonic antigen CEA for cancer ditection marker.

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