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Best Paper Awards
World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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METASTATIC COLORECTAL PRIMARY ADENOCARCINOMA: A CASE REPORT
Carolina Baptista Amorim Rocha*, Michelle Nogueira de Oliveira, Jean Fialho Fazolo de Souza, Milena Viana de Queiroz, Lais Chiesse Ribas, Rhaila Del
Objective: To describe the clinical aspects of intestinal adenocarcinoma and the presence of secondary implants. Methods: Clinical case report of a male patient, 69 years old, diagnosed with intestinal adenocarcinoma and with the presence of secondary implants. Case Details: A 69-year-old male patient sought medical attention, complaining of colic-like pain in the left iliac fossa, without irradiation, intermittent, with change in stool caliber - thinning, no change in consistency, no loss recent weight, started 30 (thirty) days ago, pale ++/++++, with no further changes in the physical examination. Laboratory tests showed tumor markers with significant changes, CEA: 1515.0 ng/ml and CA19.9: 8Ui/ml; and fecal occult blood: positive. A colonoscopy was requested, showing a circumferential infiltrating lesion with significant partial stenosis. The patient underwent elective laparotomy, which was uneventful, for resection of the tumor lesion. The patient was discharged from the hospital after the surgical procedure, material sent for a new biopsy, ready to start the venous chemotherapy treatment. Final considerations: It was demonstrated the importance of screening and staging tests, respectively for CRC identification and to determine the possible clinical course of the disease. Finally, the importance of colonoscopy and PSOF was presented, as well as the dosages of tumor markers CEA and CA.[Full Text Article]