ADENOCARCINOMA- Adenocarcinoma is a type of cancer that may affect various organs.

It is
derived from the word “adeno” meaning 'pertaining to a gland' and “carcinoma” meaning
cancer.Adenocarcinoma is a type of cancer that starts in glands that line the insides of the
organs, which is why it can affect different body areas. Adenocarcinoma forms in glandular
epithelial cells, which secrete mucus, digestive juices or other fluids. In some cases,
adenocarcinoma spreads to other parts of the body, and at that point, it's called metastatic
adenocarcinoma.

RISK FACTORS

● Smoking
● H.pylori
● Alcohol Consumption

SIGNS AND SYMPTOMS

● Hematemesis
● Melena
● Epigastric pain
● Anemia
● Right Upper Abdominal Pain

DIAGNOSTIC TEST

● Endoscopy
● Chest X-ray
● BUN and Creatinine
● Biopsy
● Blood tests

TREATMENT

● Surgery
● Chemotherapy
● Radiation Therapy

MEDICATION
● Omeprazole
● Norepinephrine
SURGERY
Usually the first line of treatment for adenocarcinoma, surgery is done to remove cancer
and some of the surrounding tissue.

ONCOLOGIST
A Physician who diagnoses, treats, and assesses patients with different types of cancer in
different parts of the body.

LIFESTYLE MANAGEMENT
● Be smoke free
● Drink less alcohol
● Eat healthy balanced diet
● Manage stress
● Exercise regularly
PATIENT'S PROFILE

A.DEMOGRAPHIC DATA
Name:Patient M
Age:48 years old
Sex:Male
Date of Birth:May 20, 1975
Address:Purok 6 Laya, Alfonso Lista
Occupation:Farmer
Civil Status:Single
Religion:Roman Catholic
Height:162cm
Weight:52kg
Date of Admission: March 20, 2024
Time of Admission:7:00 pm
Chief Complain:Generalized Body Weakness
Admitting Diagnosis:Antral Mass (Adenocarcinoma)
Admitting Physician:Sheehan Jalanie Bernadette Esteban Alcid, MD
Attending Physician: Rodel Alvarez Fermantes,MD

Initial Vital Signs:

BP:90/60 mmHg
HR:98 bpm
RR:24 cpm
Temp:36.4 °C
O2 sat: 97%

B. HISTORY OF PAST ILLNESS

The patient has a hypertension and has a maintenance of amlodipine and losartan

C. HISTORY OF PRESENT ILLNESS

● October 2023- patient had episodes of epigastric pain heavy 5/10. Associated with
occurrence vomiting coffee ground ½ cup, melena semiformed sought and given
omeprazole
● November 2023- no recurrence of symptoms
● December 2023- patient had recurrence of epigastric pain, vomiting of coffee ground
melena & black stool sought consult admitted and was given 3 units PRBC,discharge
referred.
● January 2024- patient sought consultation still with above symptoms endoscopy
done,biopsy done and advised for possible surgery.
● Persistence of occurrence vomiting & black stool. Consult hence admitted
D.FAMILY HISTORY
The patient verbalized that they don’t have any history of illness.