Colon adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and chronic constipation.

Patient Data

Age: 60 years
Gender: Female
ct

Marked irregular wall thickening was seen in ascending colon and hepatic flexure of colon, accompanied by stranding of pericolic fat. A few small lymph nodes are seen in pericolic region.

A little free fluid in the cul de sac.

A 22 mm cyst with a smooth and thin wall, sharp and distinct margination, and a homogenous water density was seen in 8th segment of liver.

Case Discussion

Colonic mass; pathology proven adenocarcinoma, with small regional lymphadenopathies.

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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