The authors report the case of a 29-year-old woman with partially calcified stage cT4N2M0 mucoid adenocarcinoma of the mid-rectum. Concomitant neoadjuvant chemoradiotherapy was administered. Preoperative CT scan and MRI demonstrated stable disease with a marked increase of its mineralized component. Histology confirmed a mucoid adenocarcinoma with ossified matrix. Osteocytes were identified in the tumor. TNM (5th edition) staging was ypT3N2M1. This case illustrates heterotopic ossification of a rectal tumor, a fairly uncommon finding. The mechanism of heterotopic bone formation within gastrointestinal adenocarcinoma has not been fully elucidated. The impact of this particular feature on patient outcome is unknown.
Smajda, S., Danse, E., Mertens de Wilmars, M., Humblet, Y., Kartheuser, A., & Jouret-Mourin, A. (2015). Ossification of a rectal tumor: an uncommon finding. Acta Gastro-Enterologica Belgica, 78(4), 431-435. https://hdl.handle.net/2078.5/66428 (Original work published 2015)