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ISSN: 2329-9088

Tropical Medicine & Surgery
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Case Report

Mid Transverse Colon Cancer and the Related Risk Factors: A Case Report

Amer Hayat Khan1*, Andee Dzulkarnaen Zakaria2, Syed Hassan2, Siti Rahmah Hashim Isa Merican2, Nurashikin Binti Mazlan1 and Mohammed Abdul Hameed3

1Department of Clinical Pharmacy, School of Pharmaceutical Sciences Universiti Sains Malaysia, 11800 Penang, Malaysia

2Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus 16150 Kelantan, Malaysia

*Corresponding Author:
Amer Hayat Khan
Department of Clinical Pharmacy
School of Pharmaceutical Sciences
Universiti Sains Malaysia, 11800 Penang, Malaysia
Tel: 006-014-9227580
Fax: 00604 657 0017
E-mail: [email protected]

Received Date: January 15, 2013; Accepted Date: July 13, 2013; Published Date: July 17, 2013

Citation: Khan AH, Zakaria AD, Hassan S, Isa Merican SRH, Mazlan NB, et al. (2013) Mid Transverse Colon Cancer and the Related Risk Factors: A Case Report. Trop Med Surg 1:130. doi: 10.4172/2329-9088.1000130

Copyright: © 2013 Khan AH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Colorectal cancer is the third most common cancer among both men and women in the United States. A colorectal cancer begins when normal cells in the lining of the colon or rectum change and grows uncontrollably, forming a mass called a tumor. Case presentation: A 54-year-old woman complained of epigastric pain for the last four months and the pain increased in severity in the last few days. Computed tomography (CT) scan showed mid transverse colon tumor with the absence of pericolic fat streakiness, lymphodenopathy and liver metastases. The patient has diabetes mellitus (DM) type 2 and hypertension. She has been on insulin therapy for years (subcutaneous (S/C) Actrapid 30 u TDS and S/C Insulatard 8 u ON). Patient is obese with BMI of 36.5 kg/m2. The colonoscopy and pathological examination showed polypoidal tumour (Transverse) with length of 5.5 cm, the lumen of the colon is almost completely obstructed by the tumour. The patient underwent right hemicolectomy and her condition improved afterwards. Conclusion: Diabetes Mellitus and aggressive insulin therapy may be the underlying factors that causing emergence of colon cancer in current patient, even though there is no family history for cancer.

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