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. 2022 Mar 10;14(6):1427. doi: 10.3390/cancers14061427

Figure 1.

Figure 1

77-year-old patient presenting with constipation and weight loss, a TAP CECT performed shows a rectal mass (A, arrow) associated with two liver hypodense lesions in segments II/IVa and VII suspicious of metastases (B, arrows). No other metastatic site was identified. Rectal MRI for local staging evidences a cT4 cN2 lower rectal tumor invading ipsilateral levator-ani muscle as shown on axial T2 weighted imaging (C, arrow). Coronal T2 weighted imaging evidenced multiple lymph nodes involving the right mesorectum and the right internal iliac region (D, arrows). Liver MRI with hepato-specific contrast agent evidenced three liver metastases respectively involving segments II/Iva, VII and VIII (E, arrows). The patient was considered as oligometastatic and underwent neo- and adjuvant radiochemotherapy, rectal low anterior resection, surgical wedge resection of segments II/IVa, VII and radiofrequency of segment VIII as shown on post-treatment liver MRI (F, arrows) with no recurrent disease at eight years after diagnosis. Abbreviations: TAP: Thoraco-abdomino-pelvic; CECT: contrast-enhanced CT.