Apple-core lesion of the colon: a case report

Alzaraa, Ahmed; Krzysztof, Kurzatkowski; Uwechue, Raphael; Tee, M K; Selvasekar, Chelliah

doi:10.4076/1757-1626-2-7275

Cited by 10 publications

(3 citation statements)

References 6 publications

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“…Colorectal cancer will appear as an exophytic or sessile mass or it may be circular or shouldered margin forming a bitten apple slice (apple core appearance). The apple-core lesion on colon imaging results in a stenotic appearance revealing colorectal adenocarcinoma [5], [6].…”

Section: Discussionmentioning

confidence: 99%

Transverse Colorectal Carcinoma Imaging: A Case Report

Langko

Atmaja

Laraswati

2022

Open Access Maced J Med Sci

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Colorectal cancer (CRC) is a type of malignancy in the digestive system. Colorectal cancer can be found anywhere along the large intestine from the cecum to the rectum. However, transverse colorectal cancer is a rare case and is only found in 6.8% of total colorectal cancers. A 64-year-old male patient with complaints of weakness, changes in the pattern of defecation, namely dark brown bowel movements for approximately +/- 8 months, anemia, and an increase in serum CEA. The results of the initial examination with plain abdominal radiographs did not reveal any abnormalities, only normal gas shadows mixed with fecal material were found that were prominent in the right to left hypochondrium region. After further examination, the patient was found to have stage 4 transverse colorectal cancer. The diagnosis of transverse colorectal carcinoma (CRC) was established based on fluoroscopy findings which showed filling abnormalities and colonic lumen irregularities in the medial 1/3 of the transverse colon forming an apple core image with the narrowest diameter + /- 3 mm along +/- 6 cm, shouldering sign (+), and on CT abdomen with contrast, an intraluminal malignant mass was found (Staging AJCC 8th ed 2018 T4aN2aM0). The diagnosis of CRC was confirmed by the results of resection and histopathological examination which found well-differentiated adenocarcinoma of the colon.

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Section: Discussionmentioning

confidence: 99%

Transverse Colorectal Carcinoma Imaging: A Case Report

Langko

Atmaja

Laraswati

2022

Open Access Maced J Med Sci

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“…The apple-core lesion of colon may be caused by a variety of diseases, such as adenocarcinoma [1,2], ischaemic colitis [3], infection [4,5], inflammatory colitis [6], endometriosis [7], and sequela of radiotherapy treatment [8]. Severe colonic lumen narrowing leads to bowel obstruction [9,10].…”

Section: Discussionmentioning

confidence: 99%

Apple-core Lesion of Colon Adenocarcinoma by Barium Double Contrast Enema

Yang¹,

Shu²

2015

Int J Clin Med Imaging

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“…A secondary test utilizing barium enema revealed an apple core stenosing mass distal to the cecum. The discovery of an apple core lesion of the colon can be due to several etiologies, including but are not limited to inflammatory bowel disease, infection, and cancer [ 7 ]. A second colonoscopy was performed but did not find the lesion that was described in the barium enema and did not identify any additional lesions.…”

Section: Case Presentationmentioning

confidence: 99%

The Importance of Patient-Centered Care in Colon Cancer Patients With Severe Mental Illness

Guan

Bakshi

et al. 2021

Cureus

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There is an abundance of literature that highlights the importance of patient-centered communication with cancer patients requiring surgical intervention. While the need for communication for patients requiring surgery is well understood, less attention is brought to patients with severe mental illnesses. More literature is needed to highlight the importance and application of patient-centered care for patients suffering from both severe mental illness and cancer requiring surgical intervention. It is unclear if poor communication between patients and cancer-care specialists is part of the reason for the underlying discrepancy. Efforts to reduce this discrepancy may be worth considering as a priority for health care systems. We present a case of a 63-year-old man with schizophrenia who received a late cancer diagnosis after a missed screening, resulting in an extensive surgical resection for colon cancer. We explore the possibility of careful communication between the treating physician, patient, and patient's caretakers potentially preventing the delay in his cancer diagnosis. Effective communication is especially important with mental health patients because of its effect on long-term physical and mental outcomes. We hope to further the discussion on how to better cater to this specific population of patients undergoing cancer surgery.

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Apple-core lesion of the colon: a case report

Cited by 10 publications

References 6 publications

Transverse Colorectal Carcinoma Imaging: A Case Report

Transverse Colorectal Carcinoma Imaging: A Case Report

Apple-core Lesion of Colon Adenocarcinoma by Barium Double Contrast Enema

The Importance of Patient-Centered Care in Colon Cancer Patients With Severe Mental Illness

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