Underlying Malignancy

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Hello My Aunt (58) had a significant pain in lower abdomen and constipated a lot dont know exactly from when.Last month she was admitted in a hospital stone was seen in kidneys and pancreatitis .As of now no biopsy is done. Later as per thr CT Scan : Evidence of Irregular wall thickning seen in the sigmoid colon with severe narrowing of the lumen and perifocal fat stranding. The wall thickness measures upto 17mm . Proximal dilation of large bowel seen predominantly in the ascending colon & hepatic flexure . Air fluid level also noted.

Suggesting the possibility of underlying Malignancy.Suggested histopathological correlation.

I want to know how a doctor wrote about Malignancy without doing biopsy.

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Thanks for your help!

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