case_images: PMC8831217_01
case_images: preoperative computed tomography scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion
case_images: PAMJ-40-243-g001.jpg
case_images: PMC8831217_01_PAMJ-40-243-g001.jpg
case_images: F1
case_images: The Computed tomography (CT) scan was performed, showed a large mass of polylobed appearance of the coecum extended to the colonic angle measuring 115x67x132mm (Figure 1) preoperative computed tomography (CT) scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion), associated with hepatic lesions, which the most voluminous are located at the level of the hepatic dome measuring 81x90mm and segment VI measuring 72x60mm confirmed by magnetic resonance imaging (MRI) (Figure 2) preoperative computed tomography (CT) scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion).
case_images: preoperative magnetic resonance imaging of the liver showing hepatic lesions with central necrosis
case_images: PAMJ-40-243-g002.jpg
case_images: PMC8831217_01_PAMJ-40-243-g002.jpg
case_images: F2
case_images: The Computed tomography (CT) scan was performed, showed a large mass of polylobed appearance of the coecum extended to the colonic angle measuring 115x67x132mm (Figure 1) preoperative computed tomography (CT) scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion), associated with hepatic lesions, which the most voluminous are located at the level of the hepatic dome measuring 81x90mm and segment VI measuring 72x60mm confirmed by magnetic resonance imaging (MRI) (Figure 2) preoperative computed tomography (CT) scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion).
case_images: adenocarcinomatous component
case_images: PAMJ-40-243-g003.jpg
case_images: PMC8831217_01_PAMJ-40-243-g003.jpg
case_images: F3
case_images: He also showed an adenocarcinomatous contingent (Figure 3) preoperative computed tomography (CT) scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion) estimated at 15% of the tumor surface made of tubes of cribriform masses bordered by obviously atypical cells.
case_images: neuroendocrine component
case_images: PAMJ-40-243-g004.jpg
case_images: PMC8831217_01_PAMJ-40-243-g004.jpg
case_images: F4
case_images: Eight Of the 29 lymph nodes removed were invaded by the neuroendocrine contingent (Figure 4) preoperative computed tomography (CT) scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion) without capsular erosion.
case_images: immunohistochemical study, positive labeling of neuroendocrine tumor cells by synaptophysin
case_images: PAMJ-40-243-g005.jpg
case_images: PMC8831217_01_PAMJ-40-243-g005.jpg
case_images: F5
case_images: The immunohistochemical study showed; synaptophysin: diffuse expression in the neuroendocrine contingent (Figure 5) preoperative computed tomography (CT) scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion).
case_images: tumor cells were positive for Ki-67 and estimated at 60%
case_images: PAMJ-40-243-g006.jpg
case_images: PMC8831217_01_PAMJ-40-243-g006.jpg
case_images: F6
case_images: Ki67 was estimated at 60% (Figure 6) preoperative computed tomography (CT) scan, showed a large mass of polylobed appearance of the coecum extended to the colonic angle, associated with hepatic lesion).