Lower GI 2017

Re-Staging

• Pelvic MRI:

– Reduction of the circumferential tumor mass of the high-mid rectum

– Reduction of the branches in the mesorectum

– Reduction of number and dimension of the lymph nodes. Some of them globular (size 26 x 20 x 17 vs 34 x 29 x 25 mm) and retraction of postero-lateral mesorectal fascia

– Reduction of dimension of the metastatic lesion at the VII hepatic segment (7 mm vs 14 mm). The lesion is hypointens in the central part and with a peripheral hyperintens contrast enhancement