Presentation
Chronic constipation and weight loss.
Patient Data
Age: 30 years
Gender: Female
From the case:
Metastatic rectal cancer
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/114666/annotated_viewer_json?lang=us"}
- circumferential increased wall thickness and luminal narrowing due to tumoral infiltration at the mid-portion of the rectum measuring about 4 cm in length
- perirectal fat stranding and a few regional lymph nodes with a maximum short axis diameter of 11mm
- four hypoenhancing hepatic lesions, the largest at segment VIII measuring 3.5 x 4 cm, suspicious for hepatic metastasis
Case Discussion
Rectal mass, pathology proven adenocarcinoma, with perirectal lymphadenopathy and liver metastasis. Rectosigmoid involvement is the most common site of colorectal cancers and includes about 55% of all cases. CT is the modality most used for staging colorectal carcinoma, however, MRI is the preferred modality for the staging of rectal cancer.