Adenocarcinoma of the descending colon

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and chronic constipation.

Patient Data

Age: 50 years
Gender: Male

Increased wall thickness due to tumoral infiltration is present at proximal of the descending colon accompanied by pericolic fat stranding and several small regional lymphadenopathies with SAD less than 11 mm. 

An 8 mm cyst is present in the left liver lobe. 

Extra and central intrahepatic bile ducts are dilated, and CBD measured 10 mm in caliber. 

The prostate gland is enlarged.

Case Discussion

Descending colon mass; pathology proved adenocarcinoma, with regional lymphadenopathies: no local invasion and detectable metastasis.

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