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Adenocarcinoma, "Apple-Core Lesion"

Smirniotopoulos, M.D. JGSM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Adenocarcinoma, "Apple-Core Lesion"

History: 52 y.o. man with slowly worsening constipation, progressive over several months

Findings: There is a marked narrowing of the colon lumen. This is a short segment with abrupt margins; and, the residual lumen is central rather than eccentric. This suggests an infiltrating submucosal process.

Ddx: Submucosal infiltration of the bowel wall has many causes: » Infiltrating Colon Cancer » Lymphoma » Chron disease » Radiation stricture » Metastasis

Dxhow: Resection and pathology of the annular constricting lesion.

Exam: Hemoccult positive stool

No MeSH data available.


Visual analogy for the "apple-core" lesion, usually caused by an infiltrating (often submucosal) process.
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MPX2530_synpic449: Visual analogy for the "apple-core" lesion, usually caused by an infiltrating (often submucosal) process.


Adenocarcinoma, "Apple-Core Lesion"

Smirniotopoulos, M.D. JGSM - MedPix

Visual analogy for the "apple-core" lesion, usually caused by an infiltrating (often submucosal) process.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2530&req=5

MPX2530_synpic449: Visual analogy for the "apple-core" lesion, usually caused by an infiltrating (often submucosal) process.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Adenocarcinoma, "Apple-Core Lesion"

History: 52 y.o. man with slowly worsening constipation, progressive over several months

Findings: There is a marked narrowing of the colon lumen. This is a short segment with abrupt margins; and, the residual lumen is central rather than eccentric. This suggests an infiltrating submucosal process.

Ddx: Submucosal infiltration of the bowel wall has many causes: » Infiltrating Colon Cancer » Lymphoma » Chron disease » Radiation stricture » Metastasis

Dxhow: Resection and pathology of the annular constricting lesion.

Exam: Hemoccult positive stool

No MeSH data available.