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Rectal adenocarcinoma

Case contributed by Yari Anahi Ramos
Diagnosis certain

Presentation

Rectal bleeding and fecal incontinence.

Patient Data

Age: 60 years
Gender: Male
mri

Irregular wall thickening in the middle and lower rectum with infiltration to mesorectum and the levator ani muscle, associated with perirectal and internal iliac adenopathies due to known adenocarcinoma. A right renal lesion with characteristics suggestive of clear cell carcinoma as a synchronous tumor.

pathology

Confirmed with histopathological study.

Rectal tumor biopsy

  • Conventional type invasive adenocarcinoma, moderately differentiated.

Case Discussion

The presence of two primary cancers in the body is a rare event.

The existence of asymptomatic renal tumors has been portrayed in up to a 4% of colorectal cancer presenting in most cases as an imaging finding in the preoperative study.

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