Anal adenocarcinoma - tumor regression grade 1

Case contributed by Jan Frank Gerstenmaier , 3 Oct 2014
Diagnosis certain
Changed by Bruno Di Muzio, 12 Jul 2018
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Study Attributes

Findings was changed:

Pre chemoradiotherapy:

Abdomen and postpelvis: No focal liver lesion. There is a 7 mm soft tissue attenuation exophytic nodule at the upper pole of the left kidney.

Spleen, adrenal glands, pancreas appear normal. No free fluid or lymphadenopathy in the abdomen or pelvis. The uterus contains a number of calcifications within the myometrium. The endometrial thickness measures at least 12 mm. There is uncomplicated sigmoid diverticulosis.

Some ill-defined soft tissue thickening is seen in the posterior anal canal, apparently extending to the anal cleft. No destructive bone lesion is identified.

Conclusion:

1. No evidence of metastatic disease. No convincing rectal lesion, but a low anal lesion with possible extension into the natal cleft is seen.

2. Incidental subcentimetre exophytic nodule at the left kidney suspicious for a small neoplasm;

3. Endometrial thickening. Recommend pelvic ultrasound if clinically appropriate.

Post chemoradiotherapy: No evidence of metastasis.

Images Changes:

Image CT (PRE) ( update )

Description was removed:
Abdomen and pelvis: No focal liver lesion. There is a 7 mm soft tissue attenuation exophytic nodule at the upper pole of the left kidney. Spleen, adrenal glands, pancreas appear normal. No free fluid or lymphadenopathy in the abdomen or pelvis. The uterus contains a number of calcifications within the myometrium. The endometrial thickness measures at least 12 mm. There is uncomplicated sigmoid diverticulosis. Some ill-defined soft tissue thickening is seen in the posterior anal canal, apparently extending to the anal cleft. No destructive bone lesion is identified. Conclusion: 1. No evidence of metastatic disease. No convincing rectal lesion, but a low anal lesion with possible extension into the natal cleft is seen. 2. Incidental subcentimetre exophytic nodule at the left kidney suspicious for a small neoplasm; 3. Endometrial thickening. Recommend pelvic ultrasound if clinically appropriate.

Image CT (POST) ( update )

Description was removed:
Post chemoradiotherapy. No evidence of metastasis.

Updates to Case Attributes

Title was changed:
Anal adenocarcinoma (tumour- tumour regression grade 1 post chemoradiotherapy)

Updates to Link Attributes

Title was removed:
Anal adenocarcinoma (tumour regression grade 1 post chemoradiotherapy)
Type was removed.
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Updates to Primarylink Attributes

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