Sigmoid colon cancer (S상 결장암/대장암/S상 대장암) A+ 케이스스터디 / 간호진단 4개(우선순위, S, O data), 간호과정 2개

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1. Sigmoid colon cancer

대상자는 69세 남성으로 2023년 2월 4일부터 발생한 우상복부와 상복부 통증으로 응급실에 내원하였다. MRCP 검사 결과 AOV cancer(ampullar of vater cancer, 바터 팽대부 암) 전이 소견이 있어 PTGBD, PTBD 등의 처치를 고려 중이다. 대상자는 2021년 4월 sigmoid colon cancer 진단 후 항암치료 중이며, 이번에는 AOV cancer 전이로 인한 증상으로 입원하였다. 대상자는 평소 변비와 설사를 반복하다가 최근 4일째 변을 보지 못하고 있으며, 활동량도 감소하였다. 또한 낙상 고위험군으로 확인되었고, 내시경 시술 후 출혈 위험이 있는 것으로 나타났다. 따라서 통증 관리, 변비 예방, 낙상 예방, 출혈 예방 등의 간호중재가 필요할 것으로 보인다.

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1. Sigmoid colon cancer

Sigmoid colon cancer is a type of colorectal cancer that originates in the sigmoid colon, which is the last section of the large intestine before the rectum. This form of cancer is a significant public health concern, as it is one of the most common types of cancer worldwide. The sigmoid colon is a curved section of the large intestine that plays a crucial role in the digestive process. Cancerous growths in this area can lead to a variety of symptoms, including changes in bowel habits, abdominal pain, rectal bleeding, and unexplained weight loss. Early detection and treatment are essential for improving patient outcomes, as sigmoid colon cancer can be highly treatable if caught in its early stages. One of the primary risk factors for sigmoid colon cancer is age, with the majority of cases occurring in individuals over the age of 50. Other risk factors include a family history of colorectal cancer, a sedentary lifestyle, a diet high in red and processed meats, and certain medical conditions, such as inflammatory bowel disease. Screening for sigmoid colon cancer is typically done through a combination of colonoscopy and other diagnostic tests, such as stool tests and imaging studies. Early detection is crucial, as it allows for the removal of precancerous polyps or the treatment of the cancer in its earliest stages, when it is most responsive to treatment. Treatment for sigmoid colon cancer can vary depending on the stage of the disease and the individual patient's overall health. Common treatment options include surgery, chemotherapy, radiation therapy, and targeted therapies. In many cases, a combination of these approaches may be used to achieve the best possible outcome for the patient. Overall, sigmoid colon cancer is a serious and potentially life-threatening condition, but with early detection and appropriate treatment, many patients can achieve positive outcomes and go on to live full and healthy lives. Continued research and advancements in medical technology will be crucial in the ongoing fight against this disease.