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CT Appearance of Some Colonic Villous Tumors

¹ Department of Radiology, J. D. Weiler Hospital of the Albert Einstein College of Medicine and Montefiore Medical Center, 1825 Eastchester Rd., Bronx, NY 10461.
² Department of Pathology, J. D. Weiler Hospital of the Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY 10461.

OBJECTIVE. A review was made of the CT studies and pathology reports of four patients with surgically resected colonic villous adenomatous tumors, two of whom had focal carcinomatous invasion.

CONCLUSION. Two patients had villous tumors with IV contrast-enhancing convolutional gyral patterns. The other two patients had tumor masses that showed oral contrast medium collecting in surface interstices, analogous to findings with barium enemas. One of the latter also had an unusual cluster of mesenteric vessels adjacent to the lesion.

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