Home / Case Study / Abdomen And GIT Cases / Case No. 8: Villous Adenoma with Carcinoma of Colon

Case No. 8: Villous Adenoma with Carcinoma of Colon

SPOTTER 8 Villous adenoma with carcinoma of colon
Case No. 8: Villous adenoma with carcinoma of colon

Procedure:

Contrast study: Barium enema

Description:

A large, lobulated mass fills the lumen of the sigmoid colon. Overlying mild mucosal irregularity present with narrowing of the distal segment of the colon. No stricture or obstruction is seen.

Diagnosis:

Villous adenoma with carcinoma of colon

Key Points:

The barium enema, particularly with a double-contrast technique, is valuable in detecting colon polyps as well as colon cancer. Intraluminal polyps are more easily detected than those that are sessile (along with the colon wall).
Evolution of polyps into colon cancer does occur; the
larger the polyp, the greater the chance the histology will
show a malignant change.

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