TUMOR PERICECAL PLASTRON IN AN ENDERLY PATIENT – DIAGNOSTIC AND THERAPEUTIC DIFFICULTIES. CASE PRESENTATION

Mihaela Mandu 1, D.C. Badiu 1, Silvia Adelina Burlacu 1, Liana Pleş1, Romina Marina Sima 1 , I.S. Coman 2, C.C. Popa 1,3, Liliana Florina Andronache 1 V.T. Grigorean 1
1 The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
2 “Bagdasar Arseni” Clinical Emergency Hospital Bucharest, Department of General Surgery
3 Bucharest Emergency University Hospital, Department of General Surgery
Corresponding author: Badiu Dumitru Cristinel
Phone no. 0040 723226346
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Abstract

Colon tumors in the elderly are often problematic regarding the differential diagnosis along with the appendicular plastron due to their low reactivity in case of tumor or inflammatory aggressions. The present paper presents the case of a 76-year-old patient, whose symptomatology indicated an appendicular plastron initially treated in a conservative manner, and then surgically approached and for which the anatomopathological result certified the diagnosis of a cecal mucinous adenocarcinoma. The discussions about this case stress the limitations of both the clinical examination and the imaging explorations such as colonoscopy and computed tomography for the differentiation of a benign inflammatory pathology of appendicular plastron from a possible malignant tumor localized at the level of the cecum. For uncertain cases, the surgical treatment of right radical ileohemicolectomy is the only means left to decide the proper diagnosis and to prevent the occurrence of severe complications specific to the neoplastic disease.

Keywords: colon tumor, elderly, plastron, differential diagnosis

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