Post on 30-Sep-2015
SPITALUL CLINIC COLENTINA
SECTIA CHIRURGIE 1
AFECTIUNE 6. Cancer colon
CLINIC anemie febr sindrom dispeptic de tip colitic durere palparea tumorii
LABORATOR Hemoleucograma, fibrinogen, VSH, Biochimie, Coagulograma antigenul carcino-embrionar
IMAGISTIC Radiografia abdominal simpl clisma baritat (irigografia) colonofibroscopie echografie CT
DIAGNOSTIC
GOLDEN STANDARD Tratament chirurgical + Chimioterapie + Radioterapie
MEDICAMENTOS Antibioterapie profilactica Heparina fractionata
TRATAMENT
CHIRURGICAL - Intervenii radicale colectomie seg mentara hemicolectomie dreapt hemicolectomie stng sigmoidectomie segmentar
Toate asociaza limfadenectomie - Intervenii paliative
colostomii by-pass (derivaie intern ) rezectii reductive op. Hartmann
- Interventii pt. metastaze
PROGNOSTIC - Dependent de stadiu si complicatii - Complicaii
Hemoragie digestiva inferioara Perforaie tumorala / diastatic abces colonic perineoplazic peritonit hipertoxic diseminare neoplazic intraperitoneal ocluzia tumoral
- Supravietuire medie la 5 ani ~55%