The role of rectal magnetic resonance imaging in accurate localization and designation of colorectal cancer for optimal management: Case study

Olanrewaju Ogunleye, MD; Sebastian Feuerlein, MD; Abraham Ahmed, MD; Arthur Parsee, MD; Daniel Jeong, MD, MS; Jonathan Henning; Jessica Frakes, MD; Amalia Stefanou, MD; Julian Sanchez, MD; Sarah Hoffe, MD; Sophie Dessureault, MD, PhD; Seth Felder, MD; James Costello, MD, PhD

Radiology Case Reports (Aug 2024)

The role of rectal magnetic resonance imaging in accurate localization and designation of colorectal cancer for optimal management: Case study

Olanrewaju Ogunleye, MD,
Sebastian Feuerlein, MD,
Abraham Ahmed, MD,
Arthur Parsee, MD,
Daniel Jeong, MD, MS,
Jonathan Henning,
Jessica Frakes, MD,
Amalia Stefanou, MD,
Julian Sanchez, MD,
Sarah Hoffe, MD,
Sophie Dessureault, MD, PhD,
Seth Felder, MD,
James Costello, MD, PhD

Affiliations

Olanrewaju Ogunleye, MD: McGovern Medical School at The University of Texas Health Science Center at Houston, Department of Diagnostic and Interventional Radiology, 6431 Fannin, Houston, TX 77030, USA
Sebastian Feuerlein, MD: H. Lee Moffitt Cancer Center and Research Institute, Department of Diagnostic Imaging and Interventional Radiology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Abraham Ahmed, MD: H. Lee Moffitt Cancer Center and Research Institute, Department of Diagnostic Imaging and Interventional Radiology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Arthur Parsee, MD: H. Lee Moffitt Cancer Center and Research Institute, Department of Diagnostic Imaging and Interventional Radiology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Daniel Jeong, MD, MS: H. Lee Moffitt Cancer Center and Research Institute, Department of Diagnostic Imaging and Interventional Radiology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Jonathan Henning: University of South Florida Morsani College of Medicine, Tampa, Florida, 560 Channelside Drive, Tampa, FL 33602, USA
Jessica Frakes, MD: H. Lee Moffitt Cancer Center and Research Institute, Department of Radiation Oncology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Amalia Stefanou, MD: H. Lee Moffitt Cancer Center and Research Institute, Department of Gastrointestinal Oncology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Julian Sanchez, MD: H. Lee Moffitt Cancer Center and Research Institute, Department of Gastrointestinal Oncology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Sarah Hoffe, MD: H. Lee Moffitt Cancer Center and Research Institute, Department of Radiation Oncology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Sophie Dessureault, MD, PhD: H. Lee Moffitt Cancer Center and Research Institute, Department of Gastrointestinal Oncology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
Seth Felder, MD: H. Lee Moffitt Cancer Center and Research Institute, Department of Gastrointestinal Oncology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA
James Costello, MD, PhD: H. Lee Moffitt Cancer Center and Research Institute, Department of Diagnostic Imaging and Interventional Radiology, 12902 USF Magnolia Drive, Tampa, FL 33612, USA; Corresponding author.

Journal volume & issue: Vol. 19, no. 8
pp. 3042 – 3048

Abstract

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Colorectal cancer, developing from malignant transformation of the distal gut epithelium, is the second leading cause of cancer death in the United States. We present a gentleman in his 60s who was diagnosed with colorectal cancer during a routine screening colonoscopy with no evidence of distant metastasis on subsequent staging with positron emission tomography and computed tomography (PET-CT). The outside rectal MR (magnetic resonance) imaging report localized a mass to the upper rectum. Review of the MRI at an institutional, Multidisciplinary Tumor Board designated the tumor as “rectosigmoid,” straddling the rectosigmoid junction at the level of the “sigmoid take-off” (STO) or alternatively at the level of the last sigmoid artery take-off (SAT) at the origin of the superior rectal artery. The anatomic differentiation between upper rectal and lower sigmoid colon cancers carries clinical importance which is highlighted in this case report and brief literature review. Optimal anatomic localization of colorectal cancers helps direct the clinical team to tailor an individualized patient care plan.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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