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Diagnostic Imaging Pathways - Suspected Colorectal Neoplasm

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1 Click to view full size image   Colonic Polyp

Image 1 (CT Colonography): Interior view of the colon showing a small colonic polyp.

       
2 Click to view full size image  

Rectal Carcinoma

Image 2 (Computed Tomography): Thickened rectal wall with invasion of the mesorectal fascia on the right side (arrow). The mesorectal fascia on the left appears normal.

       
3 Click to view full size image  

Rectal Carcinoma

Image 3 (Endorectal Ultrasound): Rectal carcinoma with infiltration into the perirectal fat (T3 lesion).

       
4a Click to view full size image   Colonic Carcinoma

Image 4a: Right hemicolectomy specimen showing a large ulcerated and exophytic caecal carcinoma.

4b Click to view full size image   Image 4b (H&E, x2.5) and 4c (H&E, x10): Histological sections showing a moderately differentiated colorectal adenocarcinoma composed of malignant glands invading into the bowel wall (blue arrows). The glands are lined by cells showing marked nuclear atypia. Normal colonic mucosa is included for comparison (green arrow).
4c Click to view full size image  

 


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