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Rectal adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for pelvic pain, rectal bleeding and chronic constipation.

Patient Data

Age: 70 years
Gender: Male
ct

Asymmetrical increased wall thickness due to tumoural infiltration is present at the mid rectum, accompanied by perirectal fat stranding and multiple enlarged lymph nodes with SAD less than 18 mm. The mesorectal fascia seems to be intact.

A 12 mm cyst is present in the 2nd hepatic segment. 

The prostate gland is enlarged. 

Case Discussion

Rectal mass; pathology proved adenocarcinoma with regional enlarged lymph nodes.
No local invasion, no detectable metastasis.

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