CASE 779: VIRTUAL COLONOSCOPY for SIGMOID COLON CANCER, Dr PHAN THANH HẢI, Dr LÂM CẨM TÚ, Dr VÕ NGUYỄN THÀNH NHÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 66 year-old man post cerebral ischemic disorder with constipation for 2 months. Sometimes he notes a bloody stool. His doctor would like a diagnosis for his client before the day of  September 2nd, so sending him to Medic Center on August 31. Because all of the hospitals will be in the day off from September 1 to 3 to celebrate the day of the National Independence of Vietnam.

Abdominal ultrasound detected nothing but a virtual CT colonoscopy revealed rapidly a sigmoid colon tumor and some colonic polyps.

Later a conventional colonoscopy was performed and biopsy of a # 2cm tumor of sigmoid colon which is far from the anus about 20 cm, and some polyps.

The  imaging diagnostic results last in some hours in one day of the August 31, for a sigmoid colon tumor. And waiting for the histoanapathologic result will be reply on the September 5.

The result is moderately diferentiazed adenocarcinoma of colon.

REFERENCE:

Computed tomographic (CT) colonography, also called CTC, virtual colonoscopy (VC) or CT pneumocolon, is a powerful minimally invasive technique for colorectal cancer screening [from Radiopaedia.org].