Synchronous tumours of large intestine

ABSTRACT

The synchronous presentation of multiple adenocarcinomas is an unusual but well recognized event accounting for approximately 3-12 percent of these tumours. All patients with colorectal cancers should be fully evaluated before surgery. Preoperatively, pancolonoscopy and barium studies help in identifying these neoplasms. Careful examination of the whole large gut during operation for colonic malignancy and intraoperative colonoscopy eliminate the chances of these tumours. We present a case of synchronous large gut adenocarcinomas