paheli
It'sAllAboutGoodKarma
Topics: 197
Posts: 2,712
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21. A previously healthy 85-year-old man has had
abdominal
distention, decreased caliber of stools, and decreased
appetite over the past 2
weeks and a 9-kg (20-lb) weight loss over the past 3
months. On
sigmoidoscopy, he is found to have a constricting
adenocarcinoma of the
sigmoid colon; imaging studies show three 1-cm
metastases to the liver.
Which of the following is the most appropriate next
step in management?
A
) No treatment
B
) Radiation therapy
C
) Chemotherapy
D
) Combination radiation therapy and
chemotherapy
E
) Resection of the colon tumor
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| nightflight1945
banned
Topics: 32
Posts: 920
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E , Resection of the colon tumor
In colon cancer if the metastasis to the liver is less than four and confined to one lobe of the liver we can resect both in one operation and the adjuvant chemotherapy.
REGARDS
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| dr19
Forum Senior
Topics: 17
Posts: 132
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E
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| bariluis
Forum Junior
Topics: 11
Posts: 39
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E
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| hafz
Forum Newbie
Topics: 0
Posts: 7
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i guess it is .........A.......... looking at his age 85years and distant metastasis
wt benifit colon resection will serve
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| hafz
Forum Newbie
Topics: 0
Posts: 7
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i guess it is .........A.......... looking at his age 85years and distant metastasis
wt benefit colon resection will serve
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| dr.d.r.agicha
Forum Newbie
Topics: 0
Posts: 25
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whatz the final ans
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| Maryana
Forum Newbie
Topics: 0
Posts: 1
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I would go with E
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| thaisbotelho
Forum Junior
Topics: 21
Posts: 58
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E
because this is a constricting tumor that will cause intestinal obstruction, so in this case it's not a curative procedure but it aim to decrease the chance of intestinal obstruction.
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