Adenocarcinoma of cecum

Case contributed by Dr Balint Botz

Presentation

Occult blood in stool. Colonoscopy revealed a polypoid mass in the caecum.

Patient Data

Age: 75 years
Gender: Female
CT

CT with iv. and oral contrast

A polypoid mass is visible in the cecum with surrounding fat stranding and locally enlarged lymph nodes. A solitary pathologic lymph node is also visible asjacent to the interlobar fissure of the liver.

Additional findings: liver and kidney cysts, osteoporotic compression fracture of the T12 vertebra. 

Case Discussion

Typical presentation of invasive colorectal cancer that was confirmed as adenocarcinoma by histology. Use of oral contrast significantly improves diagnostic confidence and accuracy. 

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Case information

rID: 59222
Published: 30th Mar 2018
Last edited: 30th Mar 2018
Inclusion in quiz mode: Included
Institution: University of Pécs

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