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CASE

DW-MRI

Lesion at the anorectal verge, posteriorly and laterally located (left side)

Close proximity of the internal anal sphincter without invasion of the external

sphincter

Necrotic, partly confluent nodes with extracapsular extension around the

right internal iliac vessels

18

F-FDG PET/CT

Hypermetabolic lesion in the anal canal

Hypermetabolic nodes at the right internal iliac vessels

No hematogenous metastases