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Related Experiment Video

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Metastatic Rectal Small Cell Carcinoma: A Case Report.

Haisam Abid1, Amrat Kumar1, Anush Patel2

  • 1Internal Medicine, Bassett Medical Center, Cooperstown, USA.

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|August 28, 2020
PubMed
Summary
This summary is machine-generated.

This case study describes an elderly male with metastatic small cell carcinoma presenting as a rectal mass. Despite palliative care, the aggressive cancer led to a rapid decline and hospice admission.

Keywords:
chemotherapyextrapulmonary small cell carcinomarectal carcinoma

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Area of Science:

  • Oncology
  • Gastroenterology
  • Pathology

Background:

  • Small cell carcinoma is a rare diagnosis for rectal masses.
  • Metastatic presentation in the elderly requires careful management.

Observation:

  • An 80-year-old male presented with altered bowel habits and rectal pain.
  • Imaging revealed a large rectal mass with liver metastases.
  • Colonoscopy confirmed an obstructing rectal mass diagnosed as small cell carcinoma.

Findings:

  • The patient underwent a palliative diverting colostomy.
  • Chemotherapy with etoposide and carboplatin was planned but delayed due to acute kidney injury.
  • Post-chemotherapy, severe nausea and vomiting occurred.

Implications:

  • This case highlights the challenges in managing metastatic rectal small cell carcinoma in elderly patients.
  • Palliative care and symptom management are crucial.
  • Treatment delays due to comorbidities can impact patient outcomes.