Large Cell Neuroendocrine Carcinoma of the Rectum Presenting with Extensive Metastatic Disease
Figure 1
(a) Contrast-enhanced computed tomography scan of the pelvis reveals a rectal mass involving the anterior, right lateral, and posterior walls of the rectum. (b) Computed tomography scan showing numerous hypodense masses throughout the liver consistent with liver metastases. (c) Contrast-enhanced computed tomography scan of the chest showing bilateral lung nodules and mediastinal lymphadenopathy secondary to metastatic disease. (d) Picture from sigmoidoscopy showing a fungating, ulcerated, and partially obstructing rectal mass, involving two-thirds of the luminal circumference.