Treatment Of Synchronous Colorectal Cancer Liver Metastasis

36-year-old patient was referred to LPC, Mumbai with abdominal complaints. Patient had a CT scan done on the advice of his general practitioner. It showed a concentric circumferential thickening in ascending colon (pic 1) and solitary lesion in liver (pic 2 & 3). The liver SOL was hypodense, around 3cms in size and was located in segment 6 of liver. It was peripherally located, however was extremely posterior and close to inferior vena cava. Colonoscopy showed a partially obstructing circumferential ulcerated mass in ascending colon. Biopsy of this mass showed a well-differentiated adenocarcinoma. Carcinoembryonic antigen (CEA) was elevated.