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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 332:1631-1636 June 15, 1995 Number 24
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Case 18-1995— A 59-year-old woman with an "apple core" lesion of the sigmoid colon, a pelvic mass, and a pulmonary nodule
A.F. Fuller, and D.C. Fleischhacker

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Presentation of Case

A 59-year-old woman was admitted to the hospital because of increasing constipation, abdominal pain, and a rectosigmoid mass.

The patient had been well until three months earlier, when pain in the right lower quadrant and constipation developed and gradually worsened; she passed mucus in her stools, without blood. Three weeks before admission colonoscopic examination at the gastrointestinal clinic showed a concentric mass, approximately 8 cm in diameter, in the sigmoid colon, with nearly complete obstruction. A pediatric endoscope was passed into the ascending colon with difficulty. No further abnormalities were observed. It was noted that the mucosa overlying the mass . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Arlan F. Fuller, Jr.'s, Diagnoses

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