Clinical Case Database / Category: Case Based Discussion

Elective surgery for colorectal cancer - Patient assessment and in-patient management

Publication details

Shahab Siddiqi BSc FRCS(Gen Surg), Irving Taylor FRCS
Foundation Years Journal, volume 2, issue 1, p.7 (123Doc Education, London, January 2008)


A 60-year-old bus driver presented to the colorectal clinic with a 6 week history of bright red rectal bleeding and looser stools. There was no history of weight loss and past medical history included asthma, hypertension and hypercholesterolaemia. He takes medication for these and is a long term smoker. Clinical examination revealed a rectal mass and histological analysis confirmed an adenocarcinoma. Blood tests were unremarkable and staging investigations showed no metastatic disease. How would this man’s finess for surgery be assessed? How would he be managed as an inpatient?

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Shahab Siddiqi BSc FRCS(Gen Surg) (Corresponding author)

Specialist Registrar
Department of Colorectal Surgery
University College Hospital
235 Euston Road

Irving Taylor FRCS

Professor of Surgery and Vice-Dean
University College London


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