IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Adenocarcinoma of cecum

Case contributed by Bálint Botz
Diagnosis almost certain

Presentation

Occult blood in stool. Colonoscopy revealed a polypoid mass in the cecum.

Patient Data

Age: 75 years
Gender: Female

CT with iv. and oral contrast

ct

A polypoid mass is visible in the cecum with surrounding fat stranding and locally enlarged lymph nodes. A solitary pathologic lymph node is also visible asjacent to the interlobar fissure of the liver.

Additional findings: liver and kidney cysts, osteoporotic compression fracture of the T12 vertebra. 

Case Discussion

Typical presentation of invasive colorectal cancer that was confirmed as adenocarcinoma by histology. Use of oral contrast significantly improves diagnostic confidence and accuracy. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.