Colon adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain in a patient with positive occult blood on stool evaluation.

Patient Data

Age: 50 years
Gender: Male
ct

Increased wall thickness and luminal narrowing due to tumoral infiltration are seen at distal of ascending and hepatic flexure of the colon. Stranding is noted in adjacent fat but there is no local invasion to the adjacent structures.

An 8×6 mm lymph node is found adjacent o the hepatic flexure of the colon.

The prostate gland is enlarged.

Case Discussion

Colonic mass; pathology proven adenocarcinoma with dominant adjacent lymph node and without local invasion or detectable metastasis.

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