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Apple core sign in colon cancer

Case contributed by Ayaz Hidayatov
Diagnosis not applicable

Presentation

Middle aged male with epigastric pain

Patient Data

Age: 50 years
Gender: Male

Axial CT shows irregular concentric wall thickening with luminal narrowing of the mid transverse colon.

Annotated image

Red arrows indicate the apple core lesion.

Photo

Apple core

Case Discussion

Apple core sign: the appearance of an annular carcinoma of the bowel, usually the colon, due to bowel wall thickening with resultant circumferential constriction of the lumen.

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