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Frequency and CT Patterns of Bowel Wall Thickening Proximal to Cancer of the Colon

Lin Xiong1, Kedar N. Chintapalli1, Gerald D. Dodd, III1, Shailendra Chopra1, Joe A. Pastrano1, Cheryl Hill2, John R. Leyendecker1, Robert M. Abbott3, David Grayson3 and John Feig4

1 Department of Radiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr., San Antonio, TX 78229-3900.
2 Department of Pathology, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-3900.
3 Department of Radiology, Wilford Hall Medical Center, 759 MDTS/MTR, 2200 Bergquist Dr., Ste. 1, Lackland AFB, TX 78236-5300.
4 Department of Pathology/MTLP, Wilford Hall Medical Center, Lackland AFB, TX, 78236.



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Fig. 1F. Drawings illustrate descriptive terms used to characterize colon wall thickening proximal to colon cancer. "Contiguous" indicates that wall thickening proximal to obstructing neoplasm reaches up to neoplasm.

 


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Fig. 1E. Drawings illustrate descriptive terms used to characterize colon wall thickening proximal to colon cancer. "Noncontiguous" indicates that wall thickening proximal to obstructing neoplasm stops short of neoplasm.

 


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Fig. 1A. Drawings illustrate descriptive terms used to characterize colon wall thickening proximal to colon cancer. "Pancolonic" indicates that colon wall thickening involves all segments proximal to obstructing neoplasm.

 


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Fig. 1B. Drawings illustrate descriptive terms used to characterize colon wall thickening proximal to colon cancer. "Segmental" indicates colon wall thickening that does not involve all segments proximal to obstructing neoplasm.

 


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Fig. 1C. Drawings illustrate descriptive terms used to characterize colon wall thickening proximal to colon cancer. "Diffuse" indicates wall thickening of entire involved colon segments.

 


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Fig. 1D. Drawings illustrate descriptive terms used to characterize colon wall thickening proximal to colon cancer. "Patchy" indicates wall thickening of portions of involved colon segments.

 


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Fig. 2A. 47-year-old woman with obstructing transverse colon cancer. Axial CT scan of abdomen shows annular neoplasm at distal transverse colon (arrow). Note wall thickening in transverse colon proximal to tumor (arrowheads).

 


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Fig. 2B. 47-year-old woman with obstructing transverse colon cancer. Axial CT scan of abdomen obtained at lower level than A shows wall thickening (long arrow) of ascending colon. Note that descending colon, which is distal to neoplasm, is spared (short arrow).

 


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Fig. 3A. 45-year-old man with rectosigmoid cancer. Axial CT scan of abdomen shows colon wall thickening, especially prominent in cecal region, with pneumatosis coli (arrows).

 


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Fig. 3B. 45-year-old man with rectosigmoid cancer. Axial CT scan of abdomen obtained at lower level than A shows soft-tissue mass at rectosigmoid junction.

 


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Fig. 3C. 45-year-old man with rectosigmoid cancer. CT scan of abdomen obtained 1 month after tumor resection shows resolution of wall thickening in cecum.

 

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