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A Case of Young Colon Cancer Presenting as Neck Mass


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1 Department of Gastroenterology IGMC- Shimla, India
     

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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.
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  • A Case of Young Colon Cancer Presenting as Neck Mass

Abstract Views: 351  |  PDF Views: 0

Authors

Brij Sharma
Department of Gastroenterology IGMC- Shimla, India
Vishal Bodh
Department of Gastroenterology IGMC- Shimla, India
Rajesh Sharma
Department of Gastroenterology IGMC- Shimla, India
Rajesh Kumar
Department of Gastroenterology IGMC- Shimla, India

Abstract


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.

References