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Rectal carcinoma

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Rectal bleeding

Patient Data

Age: 75 years
Gender: Female

CT A/P

ct

Irregular thickening of the rectum associated with stranding of the adjacent fat planes and enlarged locoregional lymph nodes.

Annotated image

Sagittal imaging depicting the rectal mass narrowing the lumen. 

Case Discussion

Rectal cancer, although sharing many of the features of generic colorectal carcinoma (CRC), has a particular anatomical location that has implications both in preoperative imaging assessment and surgical technique. MRI is nowadays the modality of choice for further stage these patients preoperatively. 

This case was further confirmed on biopsy as adenocarcinoma.

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