Man dob 1951, too painful in left flancwith digestive trouble in defecation.
Ultrasound first detected a hypoechoic mass along left flanc with pseudocervix sign. Sonologist suggested that descending colon tumor and peritumoral abscess ( see3 ultrasound pictures).
MSCT with CE diagnoses this mass being colon tumor subocclusion and abscess arround tumor ( see CT pictures).
Colo-endoscopy detected lumen stenosis of descending tumor, but biopsy this tumor 2 times all report were free of cancer cell.
Blood test WBC not rising , CEA, CA 19-9 were negative.
Open operation was done in detecting big mass due to colon cancer invading to around structures, .. making the wall-off mass ( see foto).
Wait for microscopic report.