Rectal cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and chronic constipation.

Patient Data

Age: 40 years
Gender: Female
ct

Increased wall thickness suggestive of tumoral infiltration is present at mid and distal rectum accompanied by perirectal fat stranding. Several lymphadenopathies are also observed in the vicinity of diseased segment and bilateral parailiac regions with maximum SAD of 12 mm.

Case Discussion

Rectal mass, pathology proven adenocarcinoma, with perirectal and parailiac lymphadenopathies.

Colorectal cancers can be found anywhere from the cecum to the rectum. Rectosigmoid involvement includes about 55% of cases as the most common site of colorectal cancer. CT is the modality most used for staging colorectal carcinoma, however, MRI is the preferred modality for the staging of rectal cancer.

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