Female 58 years old Reason: rectal cancer staging please History: rectal bleedingPer pathology report:Descending colon polyp - Invasive moderately differentiated colonic adenocarcinoma arising in tubulovillous adenoma.Rectal mass- Invasive moderately differentiated rectal adenocarcinoma. PELVIS:UTERUS, ADNEXA: No significant abnormality noted. BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: Scattered prominent mesorectal lymph nodes with a subcentimeter lymph node less than 1 cm from the circumferential resection margin (series 401, image 52)Lymph nodes outside the mesorectal fascia: Mildly prominent pelvic sidewall lymph nodes with reference left-sided lymph node measuring 1.0 x 0.8 cm (series 901, image 53). Reference presacral lymph node measures 1.2 x 1.0 cm (series 901, image 55), unchanged.BOWEL, MESENTERY: Rectal Tumor:Size: 1.7 x 2.6 x 1.5 cm (image 26/series501; image 35, series 901)Tumor appearance on T2-weighted images: Isointense. Immediately proximal to the aforementioned lesion, there is a region of asymmetric T2 gray signal measuring approximately 1 cm without evidence of enhancement (series 501, image 24).Tumor location: Rectosigmoid(For lower rectal tumors):Distance of the lower edge of the tumor to the anal verge (lower edge of the anal canal): 3.7 cmDistance of the lower edge of the tumor to the pelvic floor (relationship of the tumor to the anal sphincter complex): 1.6 cmCircumference of the rectum involved: 25%Relationship and proximity of the tumor to adjacent structures (uterus, cervix, vagina): Not involvedOther: There is possible infiltration of the tumor beyond the serosal margin (series 801, image 27). BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Rectal lesion consistent with history of carcinoma as detailed above.2.Prominent mesorectal, presacral, and pelvic sidewall lymph nodes.