Nonpolypoid colorectal neoplasia 6 CASE : 0092
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Case presentation Age: 64
Sex: M
Chief complaint: Fecal occult blood
Race Asian
History He visited a local hospital due to fecal occult blood detected in a health examination. Colonoscopy revealed a lateral-spreading tumor (LST) lesion involving 1/4 of the circumference at a site 50 cm from the AV (moderately differentiated tubular adenocarcinoma demonstrated by biopsy). He visited our hospital for close examination and treatment.
Past history [Past history] Alcoholic hepatitis, gastric ulcer, acute pancreatitis
[Complications] Wernicke encephalopathy, chronic pancreatitis
Laboratory test [Blood biochemical examination] Albumin: 4.5 g/dl, T-Bil: 0.6 mg/dl, GOT(AST): 29 IU/L, GPT (ALT): 21 IU/L
[Peripheral blood examination] WBC: H7,500/μl (4.1-6.1), RBC: 4,670,000/μl, Hgb: 14.1 g/dl, Ht: 43.1%, PLAT: 166,000/μl
[Tumor markers] CEA: 2.5 ng/ml, CA19-9: 8 U/ml, CA125: 13 U/ml
Release date 2009-02-24
Various codes ACR Code:759.321
Contributor: Tadakazu Shimoda
Takahisa Matsuda
Institution: National Cancer Center
Country: Japan