The role of rectal magnetic resonance imaging in accurate localization and designation of colorectal cancer for optimal management: Case study

Autor: Olanrewaju Ogunleye, MD, Sebastian Feuerlein, MD, Abraham Ahmed, MD, Arthur Parsee, MD, Daniel Jeong, MD, MS, Jonathan Henning, Jessica Frakes, MD, Amalia Stefanou, MD, Julian Sanchez, MD, Sarah Hoffe, MD, Sophie Dessureault, MD, PhD, Seth Felder, MD, James Costello, MD, PhD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Radiology Case Reports, Vol 19, Iss 8, Pp 3042-3048 (2024)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2024.04.044
Popis: Colorectal cancer, developing from malignant transformation of the distal gut epithelium, is the second leading cause of cancer death in the United States. We present a gentleman in his 60s who was diagnosed with colorectal cancer during a routine screening colonoscopy with no evidence of distant metastasis on subsequent staging with positron emission tomography and computed tomography (PET-CT). The outside rectal MR (magnetic resonance) imaging report localized a mass to the upper rectum. Review of the MRI at an institutional, Multidisciplinary Tumor Board designated the tumor as “rectosigmoid,” straddling the rectosigmoid junction at the level of the “sigmoid take-off” (STO) or alternatively at the level of the last sigmoid artery take-off (SAT) at the origin of the superior rectal artery. The anatomic differentiation between upper rectal and lower sigmoid colon cancers carries clinical importance which is highlighted in this case report and brief literature review. Optimal anatomic localization of colorectal cancers helps direct the clinical team to tailor an individualized patient care plan.
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