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Print ISSN: 1792-1074 Online ISSN: 1792-1082
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October-2024 Volume 28 Issue 4

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Case Report Open Access

Bicentric lesion of colon cancer with postoperative fever: A case report

  • Authors:
    • Mengyuan Wang
    • Xiaobin Zao
    • Zhiming Ge
    • Xianxian Fan
    • Li Jin
    • Jiucun Zhang
    • Hongbo Zhao
    • Baoxia Tie
    • Yijun Liang
    • Lianying Song
    • Jinglong Liu
    • Yifei Wang
    • Shuxin Zhang
    • Yun Yang
  • View Affiliations / Copyright

    Affiliations: Anorectal Department, Yinchuan Traditional Chinese Medicine Hospital, Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region 750001, P.R. China, Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, P.R. China, Oncology Department, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, P.R. China, Anorectal Department, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 497
    |
    Published online on: August 13, 2024
       https://doi.org/10.3892/ol.2024.14630
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Abstract

Colon adenocarcinoma (COAD) is a malignant tumor type. Fever is the most common postoperative complication of COAD. The present study described the treatment of a patient with early‑stage COAD with precancerous colon polyps and the possible cause of postoperative fever. The patient was a 48‑year‑old woman with intermittent hematochezia, defecation urgency and liquid feces. The patient received surgical treatment, a whole segment from the intestine was removed, which contained a 4‑cm‑long mass and a 2‑cm‑long firm mass. Within 3 days after the operation, the patient's incision healed well, but the body temperature increased to a range of 37.8‑38.6˚C. The suture was removed on the 10th postoperative day. After another three days, it was discovered that the upper end of the patient's surgical incision split to the anterior rectus abdominis sheath. The patient was provided with recombinant human acidic fibroblast growth factor to promote wound healing. The patient was finally diagnosed with rectosigmoid junction adenocarcinoma and precancerous colon polyps according to pathological examination results. The patient was given intravenous bevacizumab combined with irinotecan hydrochloride and oral capecitabine, and all drugs were repeatedly applied every 3 weeks, and a total of four treatment cycles were used. The cause of this postoperative fever was concluded to be anemia coming from chronic hematochezia and combined with deep wound dehiscence with secondary infection. The present study showcased that low‑dose and short‑course prophylactic adjuvant therapy is feasible for early‑stage COAD with precancerous colon polyps.
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Copy and paste a formatted citation
Spandidos Publications style
Wang M, Zao X, Ge Z, Fan X, Jin L, Zhang J, Zhao H, Tie B, Liang Y, Song L, Song L, et al: Bicentric lesion of colon cancer with postoperative fever: A case report. Oncol Lett 28: 497, 2024.
APA
Wang, M., Zao, X., Ge, Z., Fan, X., Jin, L., Zhang, J. ... Yang, Y. (2024). Bicentric lesion of colon cancer with postoperative fever: A case report. Oncology Letters, 28, 497. https://doi.org/10.3892/ol.2024.14630
MLA
Wang, M., Zao, X., Ge, Z., Fan, X., Jin, L., Zhang, J., Zhao, H., Tie, B., Liang, Y., Song, L., Liu, J., Wang, Y., Zhang, S., Yang, Y."Bicentric lesion of colon cancer with postoperative fever: A case report". Oncology Letters 28.4 (2024): 497.
Chicago
Wang, M., Zao, X., Ge, Z., Fan, X., Jin, L., Zhang, J., Zhao, H., Tie, B., Liang, Y., Song, L., Liu, J., Wang, Y., Zhang, S., Yang, Y."Bicentric lesion of colon cancer with postoperative fever: A case report". Oncology Letters 28, no. 4 (2024): 497. https://doi.org/10.3892/ol.2024.14630
Copy and paste a formatted citation
x
Spandidos Publications style
Wang M, Zao X, Ge Z, Fan X, Jin L, Zhang J, Zhao H, Tie B, Liang Y, Song L, Song L, et al: Bicentric lesion of colon cancer with postoperative fever: A case report. Oncol Lett 28: 497, 2024.
APA
Wang, M., Zao, X., Ge, Z., Fan, X., Jin, L., Zhang, J. ... Yang, Y. (2024). Bicentric lesion of colon cancer with postoperative fever: A case report. Oncology Letters, 28, 497. https://doi.org/10.3892/ol.2024.14630
MLA
Wang, M., Zao, X., Ge, Z., Fan, X., Jin, L., Zhang, J., Zhao, H., Tie, B., Liang, Y., Song, L., Liu, J., Wang, Y., Zhang, S., Yang, Y."Bicentric lesion of colon cancer with postoperative fever: A case report". Oncology Letters 28.4 (2024): 497.
Chicago
Wang, M., Zao, X., Ge, Z., Fan, X., Jin, L., Zhang, J., Zhao, H., Tie, B., Liang, Y., Song, L., Liu, J., Wang, Y., Zhang, S., Yang, Y."Bicentric lesion of colon cancer with postoperative fever: A case report". Oncology Letters 28, no. 4 (2024): 497. https://doi.org/10.3892/ol.2024.14630
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