Infiltrative colonic tumour - histology unknown

Case contributed by Dr Saeed Soltany Hosn

Presentation

Abdominal pain and dysentery

Patient Data

Age: 20
Gender: Female

Extensive mural thickening of mid-transverse colon consistent with tumoral infiltration.

Caudal to the transverse colon lesion is a heterogeneous mass with bubbles of gas and central area of necrosis consistent with necrotic conglomerate lymphadenopathy. There are also multiple abnormal lymph nodes in the para-aortic and mesenteric regions.

The differential diagnosis most likely includes lymphoma and colonic carcinoma.

Case Discussion

Extensive mural thickening of mid-transverse colon consistent with tumoral infiltration.

Caudal to the transverse colon lesion is a heterogeneous mass with bubbles of gas and central area of necrosis consistent with necrotic conglomerate lymphadenopathy. There are also multiple abnormal lymph nodes in the para-aortic and mesenteric regions.

The differential diagnosis most likely includes lymphoma and colonic carcinoma.

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Case information

rID: 20826
Case created: 14th Dec 2012
Last edited: 10th Feb 2016
Inclusion in quiz mode: Included

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