Laparoscopic Right Hemicolectomy and Primary Anastomosis for Tubulovillous Polyp with Preoperative Endoscopic Tattooing as A Preventive Treatment in High Risk Colorectal Cancer Patient Case Report and Review Volume 4 - Issue 2

Carlos T Perzabal¹, Veronica Salais¹*, Andrea Avalos² and Cesar A Lopez³

• ¹Division of Internal Medicine Oncology, Hospital General de Ciudad Juarez, Avenida Paseo Triunfo de la Republica, Mexico
• ²Division of Internal Medicine Oncology, Hospital General de Chihuahua “Dr. Salvador Zubirán Anchondo, Mexico
• ³Division of General Surgery Laparoscopy, Hospital General de Ciudad Juarez, Avenida Paseo Triunfo de la Republica, Mexico

Received: November 23, 2020   Published: December 01, 2020

Corresponding author: Veronica Salais Michaus, Division of Internal Medicine Oncology, Hospital General de Ciudad Juarez, Avenida Paseo Triunfo de la Republica, 32340 Ciudad Juarez, Chihuahua, Mexico

DOI: 10.32474/OAJOM.2020.04.000181

 

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Abstract

Background

VA/TVAs are thought to be the advanced precursors in the “adenoma-carcinoma” pathway. Right-sided colon cancer accounts for approximately 30% of bowel cancer in women and 22% in men, Curative treatment for right-sided colonic cancer includes right hemicolectomy with or without adjuvant chemotherapy. We present a 43-year-old female, with history of a father who died from colon cancer, she has a history of high blood pressure, obesity, and epilepsy, presenting hematochezia. A colonoscopy was performed with evidence of a granular scattered lateral growth lesion in the ascending colon, which cannot be resected by mucosectomy, which is why an endoscopic biopsy and tattoo was performed. The result of histopathology with tubulovillous polyp without evidence of dysplasia.

Keywords: Tubulovillous Polyp; Colorectal Cancer; Endoscopic Tattooing; Hemicolectomy; Laparoscopic Surgery; Preventive Treatment

Abbreviations: CRC: Colorectal Cancer; VA/TVA: Tubular Adenomas and Villous/Tubulovillous Adenomas; SSA: Sessile Serrated Adenomas: TSA: Traditional Serrated Adenomas; HP: Hyperplastic Polyps

Abstract| Introduction| Materials and Methods| Results| Discussion & Conclusion| References|