Rectosigmoid cancer

Case contributed by Bahman Rasuli

Presentation

Constipation and weight loss.

Patient Data

Age: 60 years
Gender: Female
ct

Circumferential wall thickening with heterogeneous enhancement in rectosigmoid junction with a total length of 85 mm accompanied by pericolic fat stranding and a few prominent regional mesenteric lymph nodes.

A hypodense mass lesion with ill-defined border and peripheral enhancement in the liver segment VII suggestive of metastasis.

Hypodense mass lesion about 12*14 mm in the right adrenal gland.

Cortical scar in the right kidney mid pole with adjacent calyectasia.

Cortical cyst in the left kidney mid pole.

Hypodense mass lesion about 40*50 mm along with uterus posterior wall.

Degenerative changes as endplate sclerosis and marginal osteophyte formation along with the thoracolumbar spine..

Case Discussion

Pathology proven case of adenocarcinoma with regional metastatic lymphadenopathy.

Colorectal carcinoma (CRC) is the most common cancer of the gastrointestinal tract and the second most frequently diagnosed malignancy in adults. CT and MRI are the modalities most frequently used for staging. Surgical resection may be curative although the five-year survival rate is 40-50%.

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