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What Does Soft Tissue Mass In The Caecum Indicate?

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Posted on Thu, 12 Mar 2015
Question: Hi Doctor,
My mother had frequent urination problems for the past 15 days and hence the doctor asked us to take abdominal CT with IV catheter when reported with some nodules in normal CT.
Am attaching the report as well as the Impression reported:
* Polypoidal soft tissue mass in the caecum as mentioned above with small pericolic nodes.
* Multiple Conglomerate omental nodules.
* Appearances may be due to caecal mass with omental metastasis. However the possibility of tuberculous involvement of caecum with omental nodules - cannot be excluded.
**********************
They doubt if the problem is due to TB/Malignant nodules. Is this the only possibility?
When I reasearched, I came across the above 2 causes. Am totally devastated.
They said they need to do a biopsy. What is the procedure for this.
Kindly help because I need to make up my mind for anything before letting my mother know about it.
Regards,
XXXXXXX
doctor
Answered by Dr. Dr Samir Patil (24 minutes later)
Brief Answer:
Need a colonoscopy and biopsy

Detailed Answer:
Hello,

I have gone through your description and the CT reports uploaded.

Your mother has a growth in the caecum which is the beginning of the small intestine. It is likely to be either malignant (cancer) or inflammatory (tuberculosis / Crohn's).

The next step would be to get a biopsy from the region to confirm the diagnosis.

Your mother needs a colonoscopy. In this procedure bowel is cleansed using a oral laxative and then the colonoscope is introduced from the rectum till the caecum and the a biopsy can be taken.

Further line of management can be decided after the biopsy report.

TB can be completely cured. While treatment for cancer is decided depending on the type and extent

Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Dr Samir Patil (47 minutes later)
Hi Doctor,

Does cancer/TB alone causes such a growth.
Is'nt there any other possibility? Is this the only reason.

Regards,
XXXXXXX
doctor
Answered by Dr. Dr Samir Patil (12 hours later)
Brief Answer:
colonoscopic biopsy will give an answer

Detailed Answer:
Hello,
Other rare possibilities are colonic polyps( these could turn to cancer) and inflammatory bowel disease like Crohn' s disease ( which I have already mentioned).
Regards
Dr Samir Patil
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr Samir Patil

Gastroenterologist

Practicing since :1997

Answered : 551 Questions

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What Does Soft Tissue Mass In The Caecum Indicate?

Brief Answer: Need a colonoscopy and biopsy Detailed Answer: Hello, I have gone through your description and the CT reports uploaded. Your mother has a growth in the caecum which is the beginning of the small intestine. It is likely to be either malignant (cancer) or inflammatory (tuberculosis / Crohn's). The next step would be to get a biopsy from the region to confirm the diagnosis. Your mother needs a colonoscopy. In this procedure bowel is cleansed using a oral laxative and then the colonoscope is introduced from the rectum till the caecum and the a biopsy can be taken. Further line of management can be decided after the biopsy report. TB can be completely cured. While treatment for cancer is decided depending on the type and extent Hope this helps Do get back in case you have further queries Regards Dr Samir Patil