Library Open Repository

Management dilemma; a woman with cystic fibrosis and severe lung disease presenting with colonic carcinoma: a case report

Downloads

Downloads per month over past year

Lees, AN and Reid, DW (2008) Management dilemma; a woman with cystic fibrosis and severe lung disease presenting with colonic carcinoma: a case report. Journal of Medical Case Reports, 2 (Dec 15). pp. 384-386. ISSN 1752-1947

[img]
Preview
PDF
Lees_J_Med_Case_Rep.pdf | Download (158kB)
Available under University of Tasmania Standard License.

Abstract

Introduction There are increasing reports of bowel cancer in cystic fibrosis, suggesting a possible causal link. Individuals with cystic fibrosis who have advanced lung disease present a high operative risk, limiting curative treatment options in early bowel malignancy. Case presentation We describe a 41-year-old Caucasian woman with cystic fibrosis and severe lung disease who had been considered for lung transplantation, who presented with rectal bleeding and was found to have a Stage I adenocarcinoma of the sigmoid colon. After considerable discussion as to the operative risks, she underwent a laparoscopic resection and remains relatively well 1 year postoperatively with no recurrence. Conclusion We discuss the complexity of the management decisions for cystic fibrosis patients with severe lung disease and early stage colonic malignancy, particularly in the context of potential need for lung transplantation. The case demonstrates that cystic fibrosis patients with very severe lung function impairment may undergo laparoscopic abdominal surgical interventions without compromising postoperative airway clearance.

Item Type: Article
Journal or Publication Title: Journal of Medical Case Reports
Page Range: pp. 384-386
ISSN: 1752-1947
Identification Number - DOI: 10.1186/1752-1947-2-384
Additional Information: This work is licensed under a Creative Commons Attribution 3.0 License: http://creativecommons.org/licenses/by/3.0/
Date Deposited: 16 Mar 2009 22:26
Last Modified: 18 Nov 2014 03:56
URI: http://eprints.utas.edu.au/id/eprint/8494
Item Statistics: View statistics for this item

Repository Staff Only (login required)

Item Control Page Item Control Page