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CASE

Colonoscopy:

polipoid lesion of 1cm at the level of the linea dentata

Pathology: squamous cell carcinoma, invasion cannot be assessed

DW-MRI:

Diffusion restrictive lesion 37mm cranial from the anal verge, anteriorly and

laterally located (right side). Not clearly visible on T1/T2-weighted images

18

F-FDG PET/CT:

Moderate to strong hypermetabolism at the level of the anal canal

No lymph nodes or hematogenous metastases