Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of hepatic metastasis secondary to known primary colorectal adenocarcinoma. Review of systems significant for [weight loss/fatigue/abdominal discomfort/jaundice]. Current oncologic status: [stable/progressive]. Recent imaging (CT/MRI) demonstrates [number/size/distribution] of lesions in [segments/lobes]. Previous treatment history includes [surgical resection/chemotherapy/targeted therapy].
Clinical Examination Findings
General: Patient appears [well-nourished/cachectic]. Abdomen: Soft, non-tender, [hepatomegaly noted/absent]. Palpable masses: [none/nodular liver edge]. Ascites: [present/absent]. Skin: [jaundice/scleral icterus noted/absent]. Performance status: ECOG [0-4].
Treatment Protocol
Plan: Multidisciplinary tumor board review. Therapeutic strategy: [Surgical resection/Radiofrequency ablation/Transarterial chemoembolization/Systemic chemotherapy]. Current regimen: [FOLFOX/FOLFIRI/targeted agents]. Monitoring: Serial CEA levels and interval cross-sectional imaging every [3/6] months. Supportive care: Pain management and nutritional optimization.