Presentation
Pelvic pain with chronic constipation.
Patient Data
Circumferential increased wall thickness due to tumoral infiltration is present at the mid portion of the rectum measuring about 4.5 cm in length. Mild perirectal fat stranding and a few small regional lymphadenopathies are noted with SAD less than 10 mm.
In addition, a few lymphadenopathies are noted at the bilateral parailiac regions with maximum SAD of 12 mm.
Case Discussion
Rectal mass; pathology proven adenocarcinoma with perirectal and parailiac lymphadenopathies.
No local invasion; No detectable metastasis.
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.