TAILIEUCHUNG - Chapter 087. Gastrointestinal Tract Cancer (Part 11)

Double-contrast air-barium enema revealing a sessile tumor of the cecum in a patient with iron-deficiency anemia and guaiac-positive stool. The lesion at surgery was a stage II adenocarcinoma. Since stool becomes more formed as it passes into the transverse and descending colon, tumors arising there tend to impede the passage of stool, resulting in the development of abdominal cramping, occasional obstruction, and even perforation. Radiographs of the abdomen often reveal characteristic annular, constricting lesions ("apple-core" or "napkin-ring") (Fig. 87-2). Figure 87-2 Annular, constricting adenocarcinoma of the descending colon. This radiographic appearance is referred to as an "apple-core" lesion and is always highly. | Chapter 087. Gastrointestinal Tract Cancer Part 11 Figure 87-1 S jmi F uct as K tp r CL e. FHur r 3-L Longs pl J m f on Jl loicjIec Ji Ha flrwr jo Jnieww Ar rfcrw 17tt Edition- http wi cc Copyright iS Th MfQrau-Hlt C mp nl . Tn-t- All tightr pc ru i. Double-contrast air-barium enema revealing a sessile tumor of the cecum in a patient with iron-deficiency anemia and guaiac-positive stool. The lesion at surgery was a stage II adenocarcinoma. Since stool becomes more formed as it passes into the transverse and descending colon tumors arising there tend to impede the passage of stool resulting in the development of abdominal cramping occasional obstruction and even perforation. Radiographs of the abdomen often reveal characteristic annular constricting lesions apple-core or napkin-ring Fig. 87-2 . Figure 87-2 Annular constricting adenocarcinoma of the descending colon. This radiographic appearance is referred to as an apple-core lesion and is always highly suggestive of malignancy. Cancers arising in the rectosigmoid are often associated with hematochezia tenesmus and narrowing of the caliber of stool anemia is an infrequent finding. While these symptoms may lead patients and their physicians to suspect .

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