Colorectal cancer

(Redirected from Colon cancer)

Background

  • Colorectal cancer is extremely common

Clinical Features

Differential Diagnosis

Lower gastrointestinal bleeding

LLQ Pain


Evaluation

  • CBC, LFTs, coags if bleeding or signs of hepatic involvement
  • CT abdomen- not definitive but may catch large mass or other alternative diagnoses
  • Definitive diagnosis not likely to be made in ED, but suggestion of malignancy may be made on imaging if large mass seen
    • Colonoscopy with biopsy
    • Serum CEA
    • Surgical pathology


Management

  • Transfuse pRBCs prn for anemia
  • Consult surgery for obstruction or perforation
    • May also help coordinate outpatient diagnostic workup

Disposition

  • Discharge if clinically stable

See Also

External Links

References

https://www.merckmanuals.com/professional/gastrointestinal-disorders/tumors-of-the-gastrointestinal-tract/colorectal-cancer

Authors:

Claire