Ascending colon cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and chronic constipation.

Patient Data

Age: 70 years
Gender: Female
ct

Increased wall thickness due to tumoral infiltration is present at ascending colon measuring 6 cm in length; accompanied by pericolic fat stranding and several regional lymphadenopathies with SAD less than 12 mm. 
 A few non-enhanced simple cortical cysts are seen at both kidneys.
A 30 mm mass is present at left adrenal gland. Its mean attenuation value on PVP and delayed images measured 70 HU and 22 HU, respectively. 
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Ascending colon mass (pathology proven adenocarcinoma) with regional lymphadenopathies.
Left adrenal mass; most compatible with benign adenoma.

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