Presentation
Abdominal pain.
Patient Data
Marked increased wall thickness due to tumoral infiltration is present at cecum and proximal of ascending colon accompanied by surrounding fat stranding and several small regional lymphadenopathies.
A few stones are noted in gallbladder, less than 35 mm.
A few non-enhanced simple cortical cysts are seen at both kidneys, with maximum diameters of 30 mm. Two adjacent stones 9 mm and 4 mm in diameter are seen at upper calyx of left kidney.
Diffuse urinary bladder wall thickening is evident.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.
Grade I spondylolisthesis of L3 on L4 is present.
Case Discussion
Cecal and ascending colon mass; pathology proven adenocarcinoma; with small regional lymphadenopathy.
Colorectal cancers can be found anywhere from the cecum to the rectum. The cecum and ascending colon are involved in approxmiately 20% of cases.
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