A 69-year-old woman presents to the clinic with an 8-week history of bloating, abdominal cramping and breathlessness | Medibuddy
28th February 2025

A 69-year-old woman presents to the clinic with an 8-week history of bloating, abdominal cramping and breathlessness

A 69-year-old woman presents to the clinic with an 8-week history of bloating, abdominal cramping and breathlessness on exertion. She has lost 8 kg over the last couple of weeks. Her past medical history is only positive for hysterectomy 10 years ago and hypertension controlled with losartan 10 mg once a day.

Her blood results are given below:

Hb 86 g/L (115 – 160)
Platelets 145 x 10⁹/L (150 – 400)
WBC 13.1 x 10⁹/L (4.0 – 11.0)
Na+ 134 mmol/L (135 – 145)
K+ 5.1 mmol/L (3.5 – 5.0)
Urea 6.0 mmol/L (2.0 – 7.0)
Creatinine 111 µmol/L (55 – 120)
CEA 6.1 ng/mL 0 – 2.9 ng/mL

Colonoscopy shows a 9 cm mass in the ascending colon. A biopsy is taken and sent for histology. What is the histology most likely to show?

Select the SINGLE most appropriate option from the list below. Select ONE option only.

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