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Rectal Carcinoma with Osteosclerotic Metastases-A Rare Occurrence

Rajul Rastogi, Gulzari Lal Meena, Asif Majid Wani, Yuktika Gupta, Pawan Joon and Vijai Pratap Singh

Colorectal carcinoma is one of the most deadly cancers worldwide. Osseous metastases are unusual until late in the disease and usually follow hepatic & pulmonary metastases. Osseous metastases in rectal carcinoma are usually osteolytic or mixed with a minor proportion presenting solely as osteosclerotic metastases. In this article, we present a rare case of rectal carcinoma showing pure, multifocal, osteosclerotic metastases at first diagnosis without any pulmonary/hepatic metastases emphasizing the role of osseous evaluation in all patients whether early or late in the disease.