Cecal adenocarcinoma

Case contributed by Mohammadtaghi Niknejad


Abdominal pain.

Patient Data

Age: 65 years
Gender: Male

Parenchymal atrophic changes are seen at lower pole of right kidney. A few subcentimeter simple cortical cysts are seen at kidneys. There are also several parapelvic cysts at left kidney less than 32mm. Asymmetrical increased wall thickness suggestive of tumoral infiltration is present at cecum, accompanied by mild surrounding fat stranding and a few small regional lymphadenopathy. The prostate gland is enlarged. Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Cecal mass (pathology proven adenocarcinoma) with small regional lymphadenopathy. Colorectal cancers can be found anywhere from the cecum to the rectum. The cecum and ascending colon are involved in approxmiately 20% of cases. 

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