Abstract
Iron deficiency anemia can be the first manifestation of colon cancer. However, iron deficiency anemia is also common in other benign conditions, which may cause a longer delay for referral decisions to get a definitive diagnosis. This is a case of 40-year-old male patient who had only iron deficiency anemia as a manifestation of colon cancer. Colonoscopy revealed intraluminal mass in transverse colon. After resection of the tumor, histopathology showed well-differentiated mucinous adenocarcinoma, invasion of sub-serous, and one node positive (pT3pN1pM0). After resection, we administered XELOX as adjuvant chemotherapy every 3 weeks for 8 cycles.
Highlights
Colon cancer is the 3rd most common cancer which is one of the leading causes of cancer-related deaths worldwide.[1]
Iron deficiency anemia has long been recognized as a clinical manifestation of cancer
Iron deficiency anemia can be the first manifestation of right-sided colon cancer
Summary
Colon cancer is the 3rd most common cancer which is one of the leading causes of cancer-related deaths worldwide.[1]. Anemia defisiensi besi dapat menjadi satu-satunya manifestasi klinis pada pasien dengan kanker kolon. Kami melaporkan sebuah kasus pasien laki-laki berusia 40 tahun yang menderita kanker kolon tetapi manifestasi klinis satu-satunya yang muncul hanyalah anemia defisiensi besi.
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