Return to CAP Home
Printable Version

2008 — June Case of the Month

Updated July 1, 2008

CLINICAL SUMMARY: CECUM  

CAP Foundation June 2008 Online Case of the Month

View case with:
PC users: ImageScope
First-time use of ImageScope?
* Download (required)

Why use ImageScope?

ImageScope offers many additional features including:

• Ability to view multiple slides
  concurrently; synchronize
  panning/zooming.

• Facility to author annotations.

• Capability to run analysis
  algorithms, and display results.

• Modify image brightness,
  contrast, color balance,
  etc.

• Generally faster and more
  responsive.

MAC/PC Users: WebViewer

A 65-year-old woman, who had a modified radical mastectomy performed 3 years earlier for breast carcinoma, presented with abdominal distension and altered bowel habits. Following CT-scan of the abdomen and upper and lower GI endoscopy, a colonic biopsy was performed, showing adenocarcinoma with a MUC1(-), ER(-), CDX2(+), CK7(-) and CK20(+) imunophenotype.

The patient developed small intestinal obstruction and a right-hemicolectomy was performed. A right hemicolectomy specimen revealed a circumferential stenosing tumor involving the cecum and the proximal ascending colon. The longitudinal axis of the tumor measured 6.5 cm and the tumor thickness was 2.5 cm.

The master list with the correct answer

  • Goblet cell carcinoid
  • Metastatic carcinoma, breast
  • Metastatic carcinoma, stomach
  • Signet-ring cell carcinoma, primary

Access Case Critique to view:

  • Appropriate diagnosis
  • Critique
  • References


Your input is valued - please submit your feedback so that we may continue to optimize this program.