RADIATION ONCOLOGY

Gastrointestinal (as Unknown ) (1 items)

Chief complaint: Bright red blood per rectum. This is a 56-year-old male healthy male presents after 3 months of rectal bleeding initially on wiping after bowel movement, now with blood in the toilet bowl. He complains of being constipated for the last 6 months as he has been taking pain medication after his knee replacement. He denied rectal pain or urgency. He was seen by his PCP who palpated a mass on digital rectal exam 6 cm from the anal verge. This mass was mobile on his exam. He was worked up with a colonoscopy which revealed a tumor 7 11 cm from the anal verge which 2/3 circumferential and non obstructive. Endoscopic Ultrasound revealed mass to the peri-rectal fat and peri-rectal lymph nodes. Biopsy confirmed adenocarcinoma of the rectum grade 3/3. The abdominal CT scan showed a rectal tumor with perirectal enlarged lymph nodes. No liver metastasis.