Clinical Correlations The NYU Internal Medicine Blog A Daily Dose of Medicine. http://clinicalcorrelations.org. Medical Grand Rounds Clinical Vignette October 8, 2008. Sabina Berezovskaya, M.D. Chief Complaint.
Medical Grand RoundsClinical VignetteOctober 8, 2008
Sabina Berezovskaya, M.D.
The physical exam was otherwise entirely normal.
Lower Gastrointestinal Bleed
Poorly Differentiated Invasive Carcinoma
+ for Cytokeratin 20 and Neuron Specific Enolase (NSE)
- for Cytokeratin 7, Synaptophysin or Chromographin
Ascending colon tumor with multiple enlarged adjacent mesenteric lymph nodes
No evidence for intrathoracic metastatic disease
Lower Gastrointestinal Bleed due to
Poorly Differentiated Adenocarcinoma of the ascending colon and the hepatic flexure