Where is a cecal mass

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Cecum cancer is a specific type of cancer that can develop at the very beginning of the colon. This article will discuss the signs and symptoms of cecum cancer, and how it is diagnosed and treated.

In order to better understand the symptoms you might expect from cecum cancer, it's helpful to review the anatomy and function of the colon in the digestive process. After food is broken down into liquid by the stomach, it enters the small intestine, where the majority of nutrients are absorbed into the bloodstream.

Digestive material then moves to the large intestine, which includes the colon. The function of the colon is to absorb remaining nutrients from digested material, and reabsorb water to create stool poop. Your colon is divided into five parts:. The location of the cecum can make it more difficult to find cancer than in other regions of the colon. Common symptoms of colorectal cancer overall include a change in bowel movements, rectal bleeding, and a frequent urge to have a bowel movement that isn't relieved by defecating.

Chances are you will not experience these telltale symptoms with cecum cancer. The symptoms of cecum cancer can be nonspecific and are often different than traditional colon cancer symptoms. Because the waste passing through the cecum is slushy and can easily bypass masses in this part of the large intestine, inflammation in the cecum will not make you feel an urge to defecate or cause bowel habit irregularities although it is sometimes associated with diarrhea.

Unfortunately, the majority of cecum cancer symptoms are not noticeable until the disease is already advanced.

Potential symptoms may include:. A colonoscopy is the best test for visually detecting cancer of the cecum. In a colonoscopy, a healthcare provider advances a colonoscope through your entire colon, up to the cecum, looking for polyps or suspicious growths that could be cancerous.

If polyps are detected, they can be removed during the procedure. Because most colon cancers begin as precancerous polyps, a colonoscopy not only can detect cancer, but also prevent it by removing these polyps. This may occur due to adhesions, or other problems that make the colon tortuous or difficult to navigate. Barium enemas may be done but can be inaccurate. When this is the case, a virtual colonoscopy may be able to detect cancer of the cecum when other tests fail.

Other tests, such as a computerized tomography CT scan of your abdomen, may also be done to explore the area of your cecum and to look for evidence of any spread of cancer. Unfortunately, flexible sigmoidoscopy , a test sometimes used to screen for colon cancer, only evaluates the left side of the colon and would miss cancers of the cecum and right colon. The presence of the symptoms noted above does not mean you have cecum cancer.

However, both the standard and the virtual colonoscopy are more accurate than the barium enema. What is more, VC can be performed immediately after an incomplete colonoscopy, without any additional preparation [ 5 ]. Tortuous course of the colon, diverticulosis, strictures, obstructing mass and fixation of colonic loops due to adhesions after a previous surgery are the most common causes of incomplete colonoscopies [ 6 , 7 ].

There are also general contraindications for classic colonoscopy, such as old age, coronary failure, exacerbation of asthma and coagulation abnormalities. Most patients with a positive result of virtual colonoscopy should undergo the classic examination for a verification of any visualized lesions, collection of biopsy specimens or to have polypectomy. However, preoperative histopathological assessment in case of the cecal tumor is not obligatory [ 8 ].

Correctness of the evaluation of the large intestine can be questioned due to a delayed diagnosis of advanced cancer and its surgical treatment. However, that delay was a result of inappropriate organization of the health care system, rather than multiplication of unnecessary examination methods.

Moreover, patients at high risk should not be referred for surgery without a confirmed diagnosis. National Center for Biotechnology Information , U. Journal List Pol J Radiol v. Pol J Radiol. Author information Article notes Copyright and License information Disclaimer.

Received May 29; Accepted Feb 2. This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited. This article has been cited by other articles in PMC. Summary The authors presented a year-old female patient at high risk, suspected of a cecal cancer CC due to discomfort in the inguinal fossa, microcytic anemia although she was postmenopausal , liquid stools and a positive faecal occult blood test.

Keywords: cecal cancer, incomplete colonoscopy, virtual colonoscopy. Background Colorectal cancer CRC is the second most frequent cancer found in both sexes and it is the third most popular cause of cancer deaths in Poland.

Case Report A female patient, B. Written and verbal informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. The authors declare that they have no competing interests.

AE and KL were both involved in direct patient care, the surgery, perioperative management, literature review, and writing the manuscript. RG was a contributor in writing the manuscript. All authors helped read, edit, and approve the final manuscript.

National Center for Biotechnology Information , U. Journal List Cases J v. Cases J. Published online Feb 6. Author information Article notes Copyright and License information Disclaimer. Corresponding author. Ali R Elyassi: lim. Received Nov 6; Accepted Feb 6. Abstract Background Colorectal cancer CRC is a common and lethal disease with thousands of new cases of large bowel cancer diagnosed in the United States each year.

Introduction Colorectal cancer CRC is a common and lethal disease with over , new cases of large bowel cancer diagnosed each year in the United States[ 1 ].

Case Presentation A 58 year old Caucasian male with a history of iron deficiency anemia and severe depression presented with weakness and shortness of breath, along with a loss of appetite and thirty pound weight loss.

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Sign In or Create an Account. Sign In. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents Abstract. An unusual cecal mass on routine colonoscopy. Eid , Joseph J. Oxford Academic. Ariel Rodriguez. Jason M. Michel M. Revision received:. Cite Cite Joseph J. Select Format Select format. Permissions Icon Permissions. Abstract Cecal masses secondary to extra-luminal compression are rare. Figure Open in new tab Download slide.

Mesh erosion into caecum following laparoscopic repair of inguinal hernia TAPP : a case report and literature review.