CASE 783: CECUM CANCER in a Young Woman, Dr PHAN THANH HẢI, Dr TRƯƠNG CÔNG THÀNH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 31 year-old woman with loose stool but no blood nor glue secretion 1-2 times/day for two months. She lost of her weight # 1 kilogram and has some cramps at her right flank. Her past history noted a gastritis management and her familial history denies any tumoral diseases.

Abdominal ultrasound at Medic Center detected a thickening wall of the terminal ileum, the cecum and the ascending colon which were thought maybe due to an GI inflammation.

But CEA elevated # 5.04 ng/mL. FOBT positive and calprotectin raised# 240 microgram/gr.

Colonoscopy revealed an ulcer with hard border of the cecal tumor; and MSCT confirmed a tumor of the cecum and metastase lymph nodes and a  metastase node in the right lobe of the liver, T3 N2 M1.

Result of microscopic biopsy was a  well differentiated adenocarcinoma of the colon.

She went through a chemotherapy before the right colonoectomy.

CEA came back normally: 2.73 ng/mL post of therapy. 

5 months later the treated liver node shows no a relapse on abdominal MSCT.

Cancer of the colon is taken the 5th place of tumor diseases in Vietnam, and seems to be appeared more early in the young patient without any symptome.

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