AI Article Synopsis

  • A 72-year-old man with advanced dementia was diagnosed with a painful abdominal mass due to moderately differentiated tubular adenocarcinoma in the ascending colon.
  • He underwent laparoscopic right hemicolectomy to remove the tumor and prevent complications like ileus.
  • One year later, local recurrence was observed, and chemotherapy with capecitabine and bevacizumab was initiated, effectively shrinking the recurrent lesions while ensuring adequate patient monitoring.

Article Abstract

A 72-year-old man with advanced dementia presented with a right lower abdominal painful mass, and on detailed examination and investigation, was diagnosed to have moderately differentiated circumferential tubular adenocarcinoma infiltrating the abdominal wall in the middle of the ascendingcolon. It was extremely painful, and there was also a risk of ileus if left untreated. Therefore, laparoscopic right hemicolectomy was performed. One year after surgery, examination revealed local recurrence. After consultation with family members, we started with chemotherapy, usingcapecitabine and bevacizumab. It is our policy to administer chemotherapy under adequate surveillance. Thus, outpatient chemotherapy was safely administered in a dementia patient with shrinkage of local recurrent lesions.

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