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%