Metastatic colorectal adenocarcinoma: atypical features

Case contributed by Dr Bruno Di Muzio

Presentation

Know history of colorectal adenocarcinoma. Presenting with seizure.

Patient Data

Age: 48
Gender: Female

CT Chest showing multiple lung nodules in different size, some of them cavitating, and the large one characterising masses and demonstrating small calcifications foci. The aspects are in keeping with metastatic disease. 

MRI Brain showing nodular lesions in the right frontal and left occipital lobes with heterogenous contrast enhancement. Both cause local mass effect with vasogenic oedema. They are pheripherally located and its difficult to say if they are intra or extra-cortical.      

Case Discussion

This case represents an atypical metastatic spread of a colorectal adenocarcinoma: sparing the liver, with pulmonary cavitating lesions, calcified lesions and brain metastases

Calcifying metastasis are also rare, but they are described in colorectal carcinomas. 

This patient underwent surgery to remove the occipital lesion and it was confirmed as an adenocarcinoma metastasis. The lung lesions were not biopsied.

 

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Case information

rID: 39373
Case created: 2nd Sep 2015
Last edited: 3rd Sep 2015
Tag: rmh
Inclusion in quiz mode: Included

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