CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER

  • Ana Catarina M. RODRIGUES Serviço de Cirurgia Geral do Hospital Dr. Nélio Mendonça, SESARAM E.P. Funchal; Portugal http://orcid.org/0000-0001-6913-5753
  • Duarte Gil ALVES Serviço de Cirurgia Geral do Hospital Dr. Nélio Mendonça, SESARAM E.P. Funchal; Portugal http://orcid.org/0000-0001-8183-6827
  • Sara FERNANDES Serviço de Cirurgia Geral do Hospital Dr. Nélio Mendonça, SESARAM E.P. Funchal; Portugal
  • António Girão CAIRES Serviço de Cirurgia Geral do Hospital Dr. Nélio Mendonça, SESARAM E.P. Funchal; Portugal
  • Jorge FERNANDES Serviço de Cirurgia Geral do Hospital Dr. Nélio Mendonça, SESARAM E.P. Funchal; Portugal
  • Carmo CALDEIRA Serviço de Cirurgia Geral do Hospital Dr. Nélio Mendonça, SESARAM E.P. Funchal; Portugal http://orcid.org/0009-0009-0665-5765

Abstract





Introduction: Colorectal cancer is one of the most frequent cancers worldwide, being the third most common cancer diagnosed and corresponding to the second cause of death by cancer. Approximately 25% of patients have already disseminated disease at the time of diagnosis.


Case Report: We present the case of a 68-year-old female patient presented with complaints of cervical mass. She was then submitted to a biopsy of the cervical adenopathy that revealed metastatic adenocarcinoma tissue with probable gastrointestinal origin. A work-up was performed and revealed a sigmoid colon adenocarcinoma. Due to associated morbidities she was submitted to supportive treatment.


Discussion: This case demonstrates the singularity of metastatic pattern in colon carcinoma. The mechanism of distant lymph node metastases in colorectal cancer still remains uncertain, nevertheless this represents an advanced stage of the disease that bears a poor prognosis.


Conclusion: Few reports in the literature showed a good outcome with primary tumor excision and adjuvant chemotherapy but this decision should be discussed in a multidisciplinary team in order to decide the best treatment option for each patient.





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References

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Published
2023-06-23
How to Cite
RODRIGUES, Ana Catarina M. et al. CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER. Revista Portuguesa de Cirurgia, [S.l.], n. 55, p. 41-43, june 2023. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/989>. Date accessed: 14 june 2024. doi: https://doi.org/10.34635/rpc.989.
Section
Clinical Case