A Case of Late Recurrence of Colon Cancer After Curative Treatment

Colorectal cancer (CRC) is the most common tumor type in both sexes combined in Western countries. Although screening programs, including the implementation of fecal occult blood test and colonoscopy, might reduce mortality by removing precursor lesions and making the diagnosis at an earlier stage....

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-05, Vol.12 (5)
Main Authors: Al Hillan, Alsadiq, Al-Banaa, Kadhim, Mohamed, Mujtaba, Hawa, Fadi, Turtel, Penny
Format: Article
Language:English
Subjects:
Abdomen
Antigens
Blood
Cancer therapies
Case reports
Colonoscopy
Colorectal cancer
Endoscopy
Gastroenterology
Internal medicine
Laboratories
Ovarian cancer
Patients
Surgery
Surveillance
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Summary:Colorectal cancer (CRC) is the most common tumor type in both sexes combined in Western countries. Although screening programs, including the implementation of fecal occult blood test and colonoscopy, might reduce mortality by removing precursor lesions and making the diagnosis at an earlier stage. Unfortunately, ~25% to 40% will develop a tumor recurrence despite a curative operation. It is well-known that most recurrences occur within five years. There are a lot of solid guidelines for recurrence surveillance. We present a case of colon adenocarcinoma that underwent surgical resection of the descending colon with close recurrence surveillance follow-ups that showed normal carcinoembryonic antigen (CEA) for 12 years and then presented again with blood in stool and was found to have recurrent colon adenocarcinoma.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.8083