Adenocarcinoma of the rectum

Case contributed by Shervin Sharifkashani
Diagnosis almost certain

Presentation

Constipation and intermittent rectal bleeding for five months,

Patient Data

Age: 45 years
Gender: Male

A circumferentially increased mucosal-mural thickness with thickness up to 17 mm in proximal to distal segment of the rectum and upper margin of the anal canal with 43 mm distance from anal verge is seen.
Extension of the lesion within the perirectal fat and multiple lymph nodes SAD up to 10 mm in perirectal are seen.

Case Discussion

The case illustrates the contrast-enhanced features of pathology-proved adenocarcinoma of the rectum. The management of the rectal cancer is usually based on rectal cancer staging. The best imaging modality for rectal cancer staging is MRI. The main treatment of rectal cancer is chemoradiation.

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