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

Colon cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and chronic constipation.

Patient Data

Age: 65 years
Gender: Male
ct

Marked increased wall thickness due to tumoral infiltration is present at the ascending segment and hepatic flexure of the colon, measuring about 15 cm in length. Additionally, pericolic fat stranding and several regional lymphadenopathy are noted with SAD less than 15 mm. The mass causes a partial obstruction with proximal dilatation and oral contrast media stasis. There is no sign of local invasion of the adjacent structures. 

Several thin walled nonenhanced cysts are seen in the liver less than 28 mm.

A few nonenhanced simple cortical cysts are seen in both kidneys, with maximum diameters of 25 mm. In addition, a 35 mm parapelvic cyst is noted in the left kidney. 

The prostate gland is enlarged. 

Case Discussion

Colonic mass; pathology proven adenocarcinoma with regional lymphadenopathy.
No local invasion; No detectable metastasis.

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.