10. Symptomatic patients: Loose stool Lower abdominal pain Weight loss Diarrhoea Passage of blood &Mucus. Asymptomatic patients: Usually are diagnosed during screening or incidentally. Clinical features
18. Pathology Microscopically The neoplasm is a columnar cell Carcinoma originating in the colonic epithelium. ย Macroscopically The tumor may take one of four forms . Type 4 is the least malignant form.
21. Staging Dukesโ classification ย A Confined to bowel wall. B Through the bowel wall but not involving the free Peritoneal serosal surface . C Lymph nodes involved. ย D advanced local disease or metastasis to liver.
22. CARCINOMA COLON Clinical Feature Carcinoma of the left side of the colon: Pain Alteration of bowel habit Palpable lump Distension
24. CARCINOMA COLON Clinical Feature Carcinoma of the transverse colon: Palpable lump Anaemia Lassitude
25. CARCINOMA COLON Clinical Feature Carcinoma of the caecum and ascending colon: Anemia Lump in right iliac fossa Acute appendicitis Intermittent obstruction