This is a 68 year old man presenting with a cecal mass . The patient was admitted to the hostpital complaining of abdominal pain and a very large abdominal mass. The patient was taken to surgery and a large retroperitoneal cecal mass was identified with no other peritoneal implants or any evidence of liver metastasis. The mass was not excised because it was showing severe adhesions to the urether and retroperitoneum. A biopsy was submitted to Pathology for frozen section.