Virchow’s node: a case report of an extremely rare presentation of metastasis of adenocarcinoma with mucinous features from the colon
| Autor: | Samson Teka, Aman N Ajmeri, Mohamed Suliman, David L Stuart, Monider Singh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Virchow's node Palliative care medicine.diagnostic_test Colorectal cancer business.industry Neck mass Transverse colon General Medicine 030204 cardiovascular system & hematology medicine.disease Metastasis 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Biopsy medicine Adenocarcinoma Radiology medicine.symptom business |
| Zdroj: | International Journal of General Medicine. 12:137-140 |
| ISSN: | 1178-7074 |
| DOI: | 10.2147/ijgm.s201617 |
| Popis: | Colon cancer is one of the most common causes of cancer-related mortality. Adenocarcinoma with mucinous features accounts for 10-15% of colon carcinoma. Distal nodal metastatic colorectal cancer is uncommon, and metastasis of colorectal cancer to the left supraclavicular lymph node is extremely rare without signs of metastatic organ involvement. We present a case of a 54-year-old Caucasian male with colonic adenocarcinoma that presented initially as a left-sided neck mass that had progressively increased in size over 9 months. On physical exam, a left supraclavicular soft tissue mass 6 cm in diameter was appreciated, it was non-tender with no submandibular lymphadenopathy. Soft tissue mass was palpable on the anterior abdominal wall in the epigastric region. Open excisional tissue biopsy of the left supraclavicular mass revealed metastatic adenocarcinoma with mucinous features and colonoscopy revealed a 6 cm obstructing mass in the transverse colon with biopsy revealing primary adenocarcinoma of the mucinous type. Palliative care with comfort measures was agreed upon. Typically, the most common sites of colon cancer metastasis are regional lymph nodes, liver, lung, bone and brain, and ours demonstrated an extremely rare pattern of colon cancer metastasis. The presentation to metastasize to the left supraclavicular node without solid end organ involvement makes this case even more novel. |
| Databáze: | OpenAIRE |
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