Cancer caecum

doi:10.15406/mojs.2017.04.00082

MOJ

eISSN: 2379-6162

Surgery

Opinion Volume 4 Issue 4

Cancer caecum

Jayesh V Trivedi

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Head of Department and Professor of Medicine, Gujarat Adani Institute of Medical Science, India

Correspondence: Jayesh V Trivedi, Head of Department and Professor of Medicine, Gujarat Adani Institute of Medical Science, Bhuj, Gujarat, India

Received: June 12, 2017 | Published: July 7, 2017

Citation: Trivedi JV. Cancer caecum. MOJ Surg. 2017;4(4):89. DOI: 10.15406/mojs.2017.04.00082

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Cancer caecum

Cancer Caecum is not an un common disease. The symptoms are non specific except Anaemia, thus it is ignored. Any patient with appendicular mass or having persistent drain after Appendectomy cancer of caecum should be suspected. Out of all colorectal cancers cancer caecum is second common cause after sigmoid colon and Rectal carcinoma. Due to the location the symptoms differ as compared with other colon malignancy (Figures 1-3).

Figure 1 Caecal wall thickening.

Figure 2 Caecal Carcinoma.

Figure 3 Caecal Carcinoma.

Symptoms

Many times it is asymptomatic.
But sometimes symptoms may be Anaemia, abdominal pain, constipation, weight loss, vomiting. Intestinal obstruction is unusual.
Persistent drain after appendectomy should raise the suspicion of malignancy.
Adenocarcinoma and carcinoid tumours are common cancers in this area.
5Years Survival rate is good 33% after surgery.
Blood loss is usually occur but it may be huge blood loss in few cases.
Perforation is a rare complication.
Right hemicolectomy or ileotranversotomy with resection of abdominal wall is the treatment of choice in such cases.
Resections of iliac nodes can be carried out if it is involved.^1–3