Lung metastases from rectal carcinoma

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Rectal cancer with known metastases to the liver and the lungs.

Patient Data

Age: 65 years

Numerous round lesions scattered in both lungs, the largest measuring 2.9 cm in diameter - known metastases.

Fractures in right 6th-8th ribs, probably old ones.

1 year later

x-ray

The metastases have all enlarged and many new ones have appeared.

Case Discussion

Underwent low anterior resection with ileostomy for rectal adenocarcinoma 3 years before the first x-ray shown here.

Follow-up x-ray done on hospital admission 1 year later shows substantial exacerbation, despite treatment with chemotherapy.

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