Intraluminal polypoid adenocarcinoma of the transverse colon

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for lower gastrointestinal bleeding.

Patient Data

Age: 60 years
Gender: Female

A 42×29 mm intraluminal polypoid mass is noted in the distal portion of the transverse colon, accompanied by several pericolic enlarged lymph nodes with SAD less than 10 mm. There is no sign of extracolonic invasion or apparent metastatic lesion.

Case Discussion

An intraluminal polypoid transverse colon mass in an elderly female patient with lower GI bleeding compatible with pathology-proven colon adenocarcinoma.

Colorectal cancers can be found anywhere from the cecum to the rectum, and transverse colon involvement includes just about 10% of cases.

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