Open Access
Subscription Access
Open Access
Subscription Access
A Case of Young Colon Cancer Presenting as Neck Mass
Subscribe/Renew Journal
Colorectal adenocarcinoma, the third most diagnosed cancer in males and the second most diagnosed in females, commonly presents with changes in bowel habits, rectal bleeding, weight loss, fatigue, and abdominal pain. While non-regional lymphatic the involvement in colon primary is an uncommon finding, metastatic mediastinal and su-praclavicular lymph node without the involvement of major intermediary organs like liver or lungs is extremely rare. We report the case of a 25-year-old male with colorectal cancer who had an unusual initial presentation as a progres-sively increasing left-sided neck mass. Early age of onset of colorectal malignancy without any bowel symptoms and presentation as metastasis to left supraclavicular node (Virchow’s node) without solid end-organ involvement makes this case novel.
Keywords
Colorectal Carcinoma, Contrast Enhanced Computed Tomography, FNAC, Carcinoembryonic Antigen.
Subscription
Login to verify subscription
User
Font Size
Information
- Lindsey A., et al.“Global Cancer Statistics, 2012”. Ca: A Cancer Journal for Clinicians 65.2 (2015): 87-108.
- K. M. Mohandas and D. C. Desai, “Epidemiology of digestive tract cancers in India. V. Large and small bowel,”Indian Journal of Gastroenterology, vol. 18, pp. 118–121, 1999.
- Speights VO, Johnson MW, Stoltenberg PH, Rappaport ES, Helbert B, Riggs M. Colorectal cancer: current trends in initial clinical manifestations. South Med J. 1991May; 84(5):575-578.
- El-Halabi MM, Chaaban SA, Meouchy J, Page S, Salyers WJ. Colon cancer metastasis to mediastinal lymph nodes without liver or lung involvement: a case report. Oncol Lett. 2014;8(5):2221–2224.
- Reddy RR, Das P, Rukmangadha N, Manilal B, Kalawat TC. Colonic carcinoma presenting with axillary lymphadenopathy-a very rare clinical entity. IJSR. 2017; 6(8):2015–2017.
- Venugopal, A., Stoffel, E.M. Colorectal Cancer in Young Adults. Curr Treat Options Gastro17, 89–98 (2019).
- Prachi S. Patil 1 & Avanish Saklani et al. Colorectal Cancer in India: An Audit from a Tertiary Center in a Low Prevalence Area. Indian J Surg Oncol (December 2017)8(4):484–490.
- Achmad H, Hanifa R. Supraclavicular lymphnodes: unusual manifestation of metastases adenocarcinoma colon. Acta Med Indones. 2015;47(4):333–339.
- Sundriyal D, Kumar N, Dubey SK, Walia M. Virchow’s node. Case Reports. 2013;2013(1):bcr2013200749–bcr2013200749.
- Aksel B, Dogan L, Karaman N, Demirci S. Cervical lymphadenopathy as the first presentation of sigmoid colon cancer. Middle East J Cancer. 2013;4(4):185–188.
Abstract Views: 461
PDF Views: 0