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Adenocarcinoma

Figure 32 : CT scan of primary invasive rectal adenocarcinoma (T4bN2M1, Dukes' stage D). Rectal mass (large arrow) directly extends into mesorectal fascia (arrowhead). Abnormal internal iliac lymph node (small arrow) also is identified.

Imaging

Extracolonic tumor spread is suggested by loss of tissue fat planes between large bowel, surrounding muscles (Fig. 31, Fig. 32, Fig. 33, Fig. 34), invades uterus (Fig. 35, Fig. 36)

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