أخر تطورات ياسر المصري (الورم السرطاني يدمر القولون ويتجه مباشرة الى الكلى ) توجد تقارير -

Ref: Yasser 2007
Mr. Yasser Abdel Rahman is a 36-year old male patient from Sudan. He presented to Anglo American Hospital in Cairo in sept 2007 with a high rectal carcinoma. Anterior resection was done with a primary colorectal anastomosis. The patient passed a smooth postoperative course.
Postoperative pathology showed a mucoid adenocarcinoma of the rectosigmod with pericoloc fat and regional lymph nodes infiltration.
In view of the tumor stage and type postoperative adjuvant chemo radiation was advised.
The patient started chemotherapy and pelvic radiation. He received 28 settings of radiotherapy and he then completed chemotherapy .
The patient was under follow-up with tumor markers and CT scans.
In August 2008 he complained of back pain and recurrence of bleeding per rectum and mucous discharge.
Recent CT scan ot he abdomen and pelvis showed a heterogenous Mass at site of previous surgery. Tumor markers showed increase in relation to the last ones.
This raised the suspicion of recurrence of the disease at the site of anastomosis.
There is also a possibility of presence of micrometastasis elsewhere.
In view of the patient excellent general condition and possibility of salvage surgery, the patient is recommended to have further treatment in a more specialized center with better facilities as the patient might need further therapy that is not available in Egypt
Concerning the prognosis of the patient, of course this depends on the actual staging of the present disease status whether it is just fibrosis at site of operation and radiation or it is a recurrence of the tumor and if it is a carcinoma would it be localized or metastatic to other sites.
The only way to confirm the diagnosis of the recurrence and accurately stage the disease is to perform colonoscopy with a biopsy and histopathological analysis in addition to chest CT and bone scan. Dealing with a recurrent disease requires highly sophisticated techniques that are not available in Egypt or the near-by counties
Anyway the patient is now capable of sustaining a long journey to Ireland or even longer journeys.