Diagnostic and Treatment of Synchronous Colorectal Cancer, a Concern of Diagnosis and Treatment, Review and Case Report

Abstract

One of the most frequent digestive tract cancers in the world today is Colorectal cancer (CRC). In the terms of incidence CRC ranks third and the second in the terms of mortality.

Synchronous colorectal cancer (SCRC) refers to more than 1 primary colorectal cancer detected in a single patient simultaneously or within 6 months of the initial diagnosis. 

Case presentation: We report a Caucasian male, 74 years old, with intermittent  abdominal pain and discomfort, constipation, anemia, sometimes nausea, and intestinal suboclusion symptoms. Surgical treatment consisted in extended left hemicolectomy after intraopeartive recognition of two different colon cancers. The postoperative course was uneventful, HP revealed Synchronous colorectal cancer (SCRC) with free resection margins. Through our case we review literature.

Conclusions: Careful palpation of the entire colon during the operation for CRC may reduce the risk of maltreatment of SCRC.