Carcinoma of the caecum.
A 49-year old man with a six-week history of tiredness and lassitude.
On examination there was a palpable mass in the right iliac fossa. The patient had been aware of lump for at least twelve months. Investigations showed that he had a carcinoma of the caecum and metastatic liver deposits. Despite the presence of disseminated disease, the patient underwent resection of the primary tumour because it was producing a symptomatic anaemia.
The opened specimen shows the ulcerating neoplasm alongside ileocaecal valve.
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