FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 341:512-519 August 12, 1999 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Presentation of Case

A 65-year-old man was admitted to the hospital because of impaired cognition and a gait disorder.

The patient had been well until 10 months earlier, when he began to have a diffuse, mild, nonprogressive headache that was continuous. Six months before admission, hematochezia led to the discovery of carcinoma of the sigmoid colon. One month later, the tumor was resected at another hospital; there was no evidence of hepatic metastasis. Microscopical examination of the specimen revealed adenocarcinoma, grade 2 of 4, that had penetrated the serosa and metastasized to 1 of 12 pericolonic lymph nodes. An induction course of fluorouracil . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Lawrence D. Recht's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.