Colorectal carcinoma - rectosigmoid

Case contributed by Bahman Rasuli
Diagnosis almost certain


Rectal bleeding and weight loss.

Patient Data

Age: 60 years
Gender: Female

Circumferential wall thickening of the rectosigmoid junction for a length of about 5 cm, accompanied by surrounding fat stranding and a few regional lymphadenopathies next to the right internal iliac chain with a maximum SAD of 16 mm.

Few gall stones with a maximum diameter of 10 mm.

Hypodence rim enhancing ovarian cystic lesion measuring about 30*40 mm on the right side.

No distant metastasis.

Degenerative changes as multilevel endplate sclerosis and marginal osteophyte formation along with the thoracolumbar spine.

Case Discussion

Pathology proven case of adenocarcinoma with regional right internal iliac chain lymphadenopathies.

Colorectal carcinoma (CRC) is the most common cancer of the gastrointestinal tract and the second most frequently diagnosed malignancy in adults. CT and MRI are the modalities most frequently used for staging. Surgical resection may be curative although the five-year survival rate is 40-50%.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.