Metastatic mucinous (calcified) adenocarcinoma of the colon

Case contributed by Dr Chris O'Donnell

Presentation

Metaststic colorectal cancer. Ascites and acute renal failure.

Patient Data

Age: 55
Gender: Male

Patient has renal failure thus no IV contrast administered.

Modality: CT

Extensive metastatic disease including peritoneal tumour and ascites, but no liver mets. Para-aortic lympadenopathy with punctate calcification as well as left groin nodes and lung lesions that are calcified (arrows).

Case Discussion

Mucinous tumours (especially gastro-intestinal) are associated with punctate calcification and this can sometimes be used to identify the primary site. In this case some areas of tumour have calcified, including lung whilst others show no calcification.

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Case Information

rID: 27712
Case created: 15th Feb 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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