Rectal Carcinoma with Osteosclerotic Metastases-A Rare Occurrence

Colorectal carcinoma is one of the most deadly cancers worldwide. Osseous metastases are unusual until late in the disease and usually follow hepatic & pulmonary metastases. Osseous metastases in rectal carcinoma are usually osteolytic or mixed with a minor proportion presenting solely as osteosclerotic metastases. In this article, we present a rare case of rectal carcinoma showing pure, multifocal, osteosclerotic metastases at first diagnosis without any pulmonary/hepatic metastases emphasizing the role of osseous evaluation in all patients whether early or late in the disease.