Azhar Khan Sadozai, Masood ur Rauf, Akhtar Ali Tahir.
Surgical Management of Carcinoma of Cecum.
Proceeding Shaikh Zayed Postgrad Med Inst Jan ;14(1):19-22.

Forty patients 30 male and 10 female comprise this study which was conducted at Nishtar Hospital, Multan from January, 1998 to June 1999 (Eighteen months). Twelve patients (over 30%) presented as emergency; four with suspicion of acute appendicitis and eight patients with intestinal obstruction. Most of the patients were in their 6th or 7th decade of life with age range 30-80 years. 70% of the patients presented with a mass in the right iliac fossa and only a few patients 20% were having clinical features of intestinal obstruction. Barium study remained the primary diagnostic tool. Right hemicolectomy with primary ileo-colic anastomosis was our standard surgical procedure and was performed in 70% of the patients. However in some cases ileotransverse bypass operation was done as the tumour was locally advanced. In 1/3rd of the patients the disease was so advanced that any resection, curative /palliative, was not possible. This study high lights the late presentation of cecal carcinoma and the importance of early diagnosis.

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