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Cecal and ascending colon cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Right lower quadrant pain.

Patient Data

Age: 85 years
Gender: Male

Marked circumferential increased wall thickness is present at the cecum and ascending colon, accompanied by pericolic fat stranding and several regional lymph nodes with short axis diameter less than 12 mm.

The prostate gland is enlarged. 

Case Discussion

Colon and ascending colon mass; pathology proved adenocarcinoma with regional lymphadenopathy. No local invasion and no detectable metastasis.

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