http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2012/12/Supplements/Metastatic-workup-of-a-morbidly-obese-patient-with-colorectal-cancer.aspx<p>A 45-year-old morbidly-obese male (weight 391 lbs (177 kg), BMI &gt;40) initially presented to an outside institution with an obstructing rectosigmoid mass in March 2009. The patient underwent an abdominoperineal resection in April 2009 (T4 lesion with 1/34 nodes positive) and was then treated with chemoradiation followed by chemotherapy until December 2009. After several follow-up computed tomography (CT) scans without evidence of metastatic disease, an outside surveillance CT in April 2012 identified 2 new liver lesions; only one was confirmed on an FDG positron emission tomography (PET) scan in May 2012. Carcinoembryonic antigen remained within normal limits before and after surgery. The patient transferred care to our institution for consideration of surgical resection of hepatic metastasis in May 2012.</p>Monday, 10 Dec 2012 13:26:46 GMT