A Woman with a Long History of Smoking and a Debilitating Dry Cough

Aim: to present a clinical case of colorectal cancer in a woman with a long history of smoking and a leading complaint of dry cough.Key points. A 56-year-old patient with a long history of smoking was hospitalized in the pulmonology department of the clinic with a leading complaint of a constant deb...

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Main Authors: N. D. Potskhverashvili, N. I. Kokina, E. L. Bueverova, O. Yu. Zolnikova, A. S. Cherenda, V. A. Morozova, M. V. Feldsherov, A. P. Kiryukhin, P. V. Pavlov
Format: Article
Language:Russian
Published: Gastro LLC 2024-08-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/828
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author N. D. Potskhverashvili
N. I. Kokina
E. L. Bueverova
O. Yu. Zolnikova
A. S. Cherenda
V. A. Morozova
M. V. Feldsherov
A. P. Kiryukhin
P. V. Pavlov
author_facet N. D. Potskhverashvili
N. I. Kokina
E. L. Bueverova
O. Yu. Zolnikova
A. S. Cherenda
V. A. Morozova
M. V. Feldsherov
A. P. Kiryukhin
P. V. Pavlov
author_sort N. D. Potskhverashvili
collection DOAJ
description Aim: to present a clinical case of colorectal cancer in a woman with a long history of smoking and a leading complaint of dry cough.Key points. A 56-year-old patient with a long history of smoking was hospitalized in the pulmonology department of the clinic with a leading complaint of a constant debilitating dry cough during the day, not amenable to the action of drugs, as well as general weakness, sweating and weight loss by 2 kg in 3 months. The examination revealed a moderately differentiated adenocarcinoma of the hepatic bend of the colon with generalized lymphadenopathy and metastatic lung damage, iron deficiency anemia. Surgical treatment was performed at the Sechenov University surgical hospital: right-sided hemicolectomy with D2 lymph dissection (removal of epicolic, paracolic, mesocolic lymph nodes); adjuvant chemotherapy was prescribed. The patient is under the supervision of an oncologist and a coloproctologist.Conclusion. A clinical case of colorectal cancer in a woman with a long history of tobacco smoking and extra-intestinal symptoms is presented, demonstrating the need for cancer caution in relation to patients older than 50 years with iron deficiency anemia and lymphadenopathy. The timeliness of the diagnosis of a malignant neoplasm by primary care physicians is determined by the careful identification of cancer risk factors of this localization and the targeted search for “symptoms of anxiety”, upon detection of which endoscopic, radiation and morphological examination is necessary.
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institution Kabale University
issn 1382-4376
2658-6673
language Russian
publishDate 2024-08-01
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record_format Article
series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-6c12c03d618b405e991979868eec6e822025-02-10T16:14:39ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732024-08-013439910610.22416/1382-4376-2024-34-3-99-106927A Woman with a Long History of Smoking and a Debilitating Dry CoughN. D. Potskhverashvili0N. I. Kokina1E. L. Bueverova2O. Yu. Zolnikova3A. S. Cherenda4V. A. Morozova5M. V. Feldsherov6A. P. Kiryukhin7P. V. Pavlov8Pineo Medical EcosystemI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Aim: to present a clinical case of colorectal cancer in a woman with a long history of smoking and a leading complaint of dry cough.Key points. A 56-year-old patient with a long history of smoking was hospitalized in the pulmonology department of the clinic with a leading complaint of a constant debilitating dry cough during the day, not amenable to the action of drugs, as well as general weakness, sweating and weight loss by 2 kg in 3 months. The examination revealed a moderately differentiated adenocarcinoma of the hepatic bend of the colon with generalized lymphadenopathy and metastatic lung damage, iron deficiency anemia. Surgical treatment was performed at the Sechenov University surgical hospital: right-sided hemicolectomy with D2 lymph dissection (removal of epicolic, paracolic, mesocolic lymph nodes); adjuvant chemotherapy was prescribed. The patient is under the supervision of an oncologist and a coloproctologist.Conclusion. A clinical case of colorectal cancer in a woman with a long history of tobacco smoking and extra-intestinal symptoms is presented, demonstrating the need for cancer caution in relation to patients older than 50 years with iron deficiency anemia and lymphadenopathy. The timeliness of the diagnosis of a malignant neoplasm by primary care physicians is determined by the careful identification of cancer risk factors of this localization and the targeted search for “symptoms of anxiety”, upon detection of which endoscopic, radiation and morphological examination is necessary.https://www.gastro-j.ru/jour/article/view/828dry coughtobacco smokinglymphadenopathyiron deficiency anemiacolorectal cancer
spellingShingle N. D. Potskhverashvili
N. I. Kokina
E. L. Bueverova
O. Yu. Zolnikova
A. S. Cherenda
V. A. Morozova
M. V. Feldsherov
A. P. Kiryukhin
P. V. Pavlov
A Woman with a Long History of Smoking and a Debilitating Dry Cough
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
dry cough
tobacco smoking
lymphadenopathy
iron deficiency anemia
colorectal cancer
title A Woman with a Long History of Smoking and a Debilitating Dry Cough
title_full A Woman with a Long History of Smoking and a Debilitating Dry Cough
title_fullStr A Woman with a Long History of Smoking and a Debilitating Dry Cough
title_full_unstemmed A Woman with a Long History of Smoking and a Debilitating Dry Cough
title_short A Woman with a Long History of Smoking and a Debilitating Dry Cough
title_sort woman with a long history of smoking and a debilitating dry cough
topic dry cough
tobacco smoking
lymphadenopathy
iron deficiency anemia
colorectal cancer
url https://www.gastro-j.ru/jour/article/view/828
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