Colorectal Cancer and Acromegaly: A Case Report and Review of the Current Guidelines
Mina Saeed, MD, Christine Tat, MD, Jan Kaminski, MD, Joaquin Estrada, MD; UIC-MGH
Abstract: Acromegaly is a debilitating condition marked by excessive production of growth hormone. This leads to disfiguration, cardiopulmonary complications, and increased risk for cancer. With up to a two-fold increased risk of developing colon cancer and worse prognosis for diagnosed patients, earlier and more frequent screening has been recommended. We present a case of a 54-year-old Hispanic male with acromegaly who presented to our hospital with hematochezia and weight loss. A near-obstructing rectal adenocarcinoma with metastasis to the liver was discovered. After completing neoadjuvant chemoradiotherapy, he underwent laparoscopic low-anterior colon resection and simultaneous open hepatic trisegmentectomy. In this case report, we review the literature and current guidelines in screening this high-risk group of patients.
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