New Online Course: Chest X-ray Viva Practice by George Harisis - Half price offer ends September 30

Cecal adenocarcinoma - surgical scar recurrence

Case contributed by Dr Balint Botz

Presentation

Underwent right sided hemicolectomy due to cecal adenocarcinoma a year earlier. Palpable mass in the surgical scar.

Patient Data

Age: 95 years
Gender: Male
  • 60 x 50 x 45 mm enhancing mass superficially along the surgical scar, in line with local recurrence. 
  • Irregular, inhomogeneous pathological lymph node adjacent to the right iliac crest, about 10 mm in short diameter. 
  • Other: Subtle, uncharacterized, but stable liver lesion, Significant AMS stenosis (known), uterine fibroids, steatosis, diverticulosis, degenerative skeletal changes and prior L3 compression. 

Case Discussion

Considering the advanced age of the patient the large mass in the surgical scar was locally removed with minimally invasive surgery, and histologically confirmed as recurrence of the cecal primary tumor. 

PlayAdd to Share

Case information

rID: 79988
Published: 12th Jul 2020
Last edited: 12th Jul 2020
Inclusion in quiz mode: Included
Institution: University of Pécs

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.