Case Author(s): M. Roarke , 9/1/95 . Rating: #D3, #Q4
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This patient had an annular
constricting rectal Dukešs stage C carcinoma resected
in September 1994. Before this resection, the patient
had received a course of radiation therapy.
Subsequent to the resection, the patient received
chemotherapy. On a follow-up colonoscopy in April
1995, a sessile mass was noted in the ascending colon.
This mass was not noted prior to the operation since
colonoscopy could not be performed due to the marked
stricturing the rectal carcinoma. Biopsy in April 1995
demonstrated benign histology. The patient had a
repeat colonoscopy on 7-11-95, which again
demonstrated the sessile mass in the region of the
ascending colon/hepatic flexure. In light of the
previous history of rectal carcinoma, a PET study was
requested to evaluate for metastatic disease prior to
resection of the hepatic flexure lesion. Biopsy of the
hepatic flexure lesion on 7-11-95 again demonstrated
a benign histology. Patient with a history of
annular constricting rectal Dukešs stage C carcinoma
resected in September 1994.
Images from whole body F-18 FDG PET study.
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