Abstract Proceedings EROC 2011 - New York Osteopathic Medical ...

EROC 2011 Abstract Proceedings – March 4, 2011
Dept. of Surgery, St. John’s Episcopal Hospital, Far Rockaway, NY
Title: Carcinoma of the Cecum: Incidence, Diagnosis, and Surgical Treatments
Authors: Dalkeith Facey, D.O. MBA, Sohail Mamdani, D.O.
Objective: The cecum does not lend itself to demonstrating early symptoms and signs of a
tumor. Right hemicolectomy remains the preferred surgical treatment of choice for these types
of malignancies.
Analysis: A review of 32 right hemicolectomies performed at Jersey City Medical Center from
March 2001 to May 2010 is presented. Also, a comparative analysis of these findings were
performed.
Results: From the Right Hemicolectomies performed with diagnosis of Cecal Carcinoma, the
disease were more prevalent in women (64% versus 36% in male patients) and more likely to
occur after the fifth decade.
C. W. Broders presented a review of 62 patients with cancer of the cecum Sixty one percent of
the patients in one cecal cancer study described weakness, weight loss, and fatigue. A later
symptom of cancer of the cecum is a palpable mass in the right lower quadrant.
A total of 40 patients with primary carcinoma of the cecum with operation, at Penrose Hospital,
were reviewed. Their results showed that female outnumber males by 67.5% to 32.5%.
Abdominal pain was the most common presenting complaint, being present in 35% of the cases
Conclusion: Cecal carcinoma is a significant part of large bowel carcinoma diagnosed in New
Jersey. These tumors predominantly afflict older women, and they are not often discovered until
later stage with lymph node involvement and sometimes-distant metastasis. In light of these
findings, Right Hemicolectomy should be the surgical treatment of choice.
20