Metastatic colorectal carcinoma

Case contributed by Dr Ian Bickle

Presentation

Weight loss and altered bowel habit. Colonoscopy in keeping with a rectosigmoid tumour.

Patient Data

Age: 70
Gender: Male

CT CHEST

Multiple small nodules in both lungs measuring upto 9mm.

No significant mediastinal lymphadenopathy.

CT ABDOMEN

4.7cm segment of circumferentially thickening rectosigmoid, the serosa of which if irregular suggesting extra-serosal extension.

Irregular soft tissue in the sigmoid mesentery.

Multiple mesorectal nodes.

Para-aortic lymphadenopathy, several with high attenuation within, upto 2.7cm

Several liver metastases the largest 3.5cm in segment 6.

Case Discussion

The CT appearances are typical of an advanced metastatic colorectal maligancy.

The liver, lungs and infra-diaphragmatic nodes are the commonest sites of metastasis.

The high attenuation within the nodes, as on this case, is typical of mucinous adenocarcinomas.

This was a biopsy proven mucinous adenocarcinoma of the colon.

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Case information

rID: 55237
Case created: 27th Aug 2017
Last edited: 28th Aug 2017
Inclusion in quiz mode: Included

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