What is the role of CT in colorectal malignancy?
CT is primarily used for staging purposes. It however maybe the imaging investigation which diagnoses the tumour (that is confirmed on endoscopy), for follow up after treatment and for post-operative complications. Those with rectal tumours typically get MRI rectum as well for local staging.
What percentage of tumours are in the right side of the colon?
22% - the second commonest site after the rectosigmoid, which account for more than half (55%).
Would a patient with colorectal carcinoma and a single liver metastasis be a candidate for hepatic surgery?
Yes - colorectal carcinoma is one of the instances, when hepatic resection would be considered for a liver metastasis.
The small bowel is distended throughout to the level of the ileocaecal valve. Enhancing mass in the caecum, which is covering and obstructing the ileocaecal valve, in keeping with a colorectal malignancy.
Several adjacent pericolic lymph nodes. No distant metastatic disease.