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[ 會員# ] Raymond Wong

Laproscopic converted to open high anterior resection on Jan5, 2017

病患者男 - 68歲

Colonscopy on Nov 30 showed primary malignant tumour in the sigmoid colon which is 27cm from the anus. CT scan on Dec 8 interpretated mid-sigmoid tumour over a length of 10 cm with staging of T3 Nx MO and cholelithiasia. Laparoscopic converted to open high anterior resection for pt4b N1b (2/25) Mucinous adenocarcinoma high grade of the sigmoid colon, R1 multi focal positive margin at the bladder shave. Indeterminate chest and liver lesions on staging CT scan, too small to characterise. On Prednisone and Azathioprine since 2001 until now for Chronic Imflammatory Demyelinating Polyneuropathy, and IgG kappa paraproteinaemia.

what to do next since surgeon here did not know which area to target for radiotherapy, what sort of chemotherapy is best in this case. Please advise the cost as well.
This patient may require chemotherapy (in view of lymph node involvement and stage III disease) and radiotherapy. The target of radiotherapy would be the urinary bladder, where residual is left behind.
The choice of chemotherapy depends on the physical fitness of patient, usually involve two chemo drugs. Costs depends on individual Clinical Oncologist.
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