Meet The Professors: Volume 1, Issue 1
A case-based discussion on the management
of colorectal cancer in the adjuvant and metastatic settings


Faculty:
   
Steven A Curley, MD Daniel G Haller, MD  
Charles S Fuchs, MD, MPH Neal J Meropol, MD  


CME INFORMATION

FACULTY AFFILIATIONS AND DISCLOSURES

Case Studies

Case 1: A 71-year-old woman with a large primary lesion located in the cecum, innumerable hepatic lesions, an LDH of 2,406 and a CEA of 474, which rose to 924 following her first cycle of FOLFOX (from the practice of Dr Philip Glynn)

Case 2: A 74-year-old man with a poorly differentiated adenocarcinoma in the ascending colon and four out of five positive lymph nodes with a history of diabetes and significant coronary artery disease (from the practice of Dr Paul L Weinstein)

Case 3: A 43-year-old man with a four-centimeter, poorly differentiated rectal adenocarcinoma with lymphatic invasion and multiple enlarged lymph nodes on endorectal ultrasound (from the practice of Dr Atif M Hussein)

Case 4: A 77-year-old woman with solitary liver metastases three and a half years after resection of the colon followed by six months of adjuvant Roswell Park 5-FU/leucovorin for a bulky, node-negative tumor fixed to the pelvic sidewall (from the practice of Dr William N Harwin)

Case 5: An 82-year-old man with a moderately differentiated adenocarcinoma in the right colon at the hepatic flexure with one out of 12 positive lymph nodes, preexisting hypertension, hyperlipidemia and minimal lower-extremity peripheral neuropathy related to spinal stenosis (from the practice of Dr Stephen A Grabelsky)

Case 6: A 54-year-old man with a five-centimeter adenocarcinoma of the colon fixed to the pelvic wall, invading the bladder and with peritoneal implants (from the practice of Dr Roman A Gastesi)

Case 7: A 57-year-old woman with a 2.4-centimeter, moderately differentiated colorectal tumor with no lymphovascular invasion, zero out of three positive nodes and a history of polycystic kidney and liver disease (from the practice of Dr Lowell L Hart)

Case 8: A 59-year-old woman with a history of a moderately differentiated, cecal adenocarcinoma diagnosed at age 53 with four out of 17 positive nodes who develops liver metastases (from the practice of Dr Paul L Weinstein)

Case 9: A 60-year-old woman with an adenocarcinoma in the cecum, 14 out of 20 positive nodes and liver metastases (from the practice of Dr Sobha Kurian)

Case 10: An 80-year-old woman with an adenocarcinoma of the cecum and three discrete liver lesions, the largest being five by three and a half centimeters (from the practice of Dr Jeffrey L Vacirca)

Case 11: A 50-year-old woman with Stage II colorectal cancer and zero out of 25 positive nodes (from the practice of Dr William G Reeves)

Case 12: A 67-year-old man with T3/N0 rectal cancer and synchronous hepatic metastases, with six lesions seen on MRI and eight detected on PET scan (from the practice of Dr Brenda L Towell)