Descending colon cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and chronic constipation.

Patient Data

Age: 65 years
Gender: Female
ct

Marked asymmetrical increased wall thickness as tumoral infiltration is noted at distal portion of descending colon measured approximately 10 cm in length and 4.5 cm in maximum wall thickness. The mass causing luminal narrowing without obstruction. Surrounding fat stranding is present. Several small regional lymphadenopathies are seen.

The gallbladder is not seen at anatomical location due to prior resection.

A few simple cortical cysts are seen at kidneys less than 40 mm. Multiple parapelvic cysts are also observed bilaterally less than 38 mm. 

The uterus is relatively enlarged and contains a few fibroids less than 35 mm.

Case Discussion

Colonic mass; pathology proven adenocarcinoma with regional lymphadenopathy. No metastasis.

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