An unusual presentation of colon cancer

Morton, Blaine A.; Scholes, John V.; Kral, John G.

doi:10.1002/jso.2930330207

Cited by 11 publications

(5 citation statements)

References 7 publications

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“…This involvement can by detectable or occult at primary site or metastatic site. Similar to our case, few other cases with asymptomatic primary colonic cancers and presenting features of a different organ have also been reported including metastases to spleen [7], subcutaneous tissue [2], vulva, [3] and lung [4]. Lam et al [8] reported an unusual presentation with pericarditis and cardiac tamponade as the presenting feature of colon carcinoma.…”

Section: Discussionsupporting

confidence: 57%

“…Involvement of other systems may contribute to variable presentations of colon cancer. Some of the unusual presentations reported in literature include an postmenopausal bleeding [1], groin mass [2], vulval mass [3], and lung nodule [4]. This patient had cancer sigmoid colon masquerading as cancer uterus which could be detected only after histopathologic examination of en-bloc resection.…”

Section: Discussionmentioning

confidence: 99%

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Unusual Presentation of Cancer Colon

Verma¹,

Mehdi

Ibrahim

et al. 2013

J Obstet Gynecol India

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This patient, a 75-year-old Libyan female, presented to African Oncology Institute with complaints of progressively worsening watery and offensive discharge per vaginam for last 1 month with a history of intermittent episodes of bleeding per vaginam. She was postmenopausal; gravida 14; known hypertensive and diabetic, controlled on treatment; and had a surgical history of cholecystectomy in remote past. On presentation, her cardiorespiratory and abdomen examinations were normal.The pelvic examination revealed a big mass protruding from os whose origin appeared to be cervix. The uterus was irregularly enlarged, mainly in lower segment.Diagnostic workup included ultrasonography pelvis which revealed uterus with thin endometrium and a 5-cm 9 5-cm mass occupying cervix. Sonography of abdomen was remarkable for somewhat edematous and dilated small colon but without any obvious mass or adenopathy. Computerized tomography scan of abdomen and pelvis revealed thick-walled and largely opened vagina which appeared hypodense in comparison to uterus and revealed a growth appearing highly suspicious of neoplastic lesion (Fig. 1). The patient was subjected to examination under anesthesia which revealed a 3-4 cm fungating and friable mass involving entire cervix, and extending to upper part of vagina. Uterus was large and partially mobile. Rectovaginal examination revealed induration of inner one-third of left parametrium while the right parametrium was normal. Rectum was normal with the presence of normal-colored stool. Her CEA and CA 19.9 were within normal limits. A punch biopsy was taken from this cervical mass. Histopathologic examination of this biopsy reported the mass to be well-differentiated papillary adenocarcinoma and appeared to be of endometrial origin. With these findings, the patient was diagnosed as a case of adenocarcinoma uterus and staged IIIA per FIGO classification. The patient was discussed in multidisciplinary oncology committee of the institute and was decided as a candidate for neoadjuvant radiotherapy to be followed by radical hysterectomy.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Cancer Colon

Verma¹,

Mehdi

Ibrahim

et al. 2013

J Obstet Gynecol India

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“…A possible explanation would be via liver metastization, with consequent umbilical metastasis via portal system, and subsequently occurrence of the inguinal metastasis through the abdominal wall lymphatics [ 6 ]. Another explanation would be the occurrence of intra-abdominal spread of the primary lesion, with progression over the iliac vessels to the inguinal nodes [ 7 ]. However, there were no imagiological signs of other lesions, particularly in the liver, neither intra-operative evidence of spread.…”

Section: Discussionmentioning

confidence: 99%

Atypical presentation of sigmoid carcinoma

Malta

Pereira

Gaspar

et al. 2017

Journal of Surgical Case Reports

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Colorectal carcinoma is common worldwide and its metastasis represents the main cause of mortality related to the disease. Inguinal metastization of this tumor has been considered almost impossible, owing to colon anatomy and its cranial lymphatic drainage. We report the case of a 63-year-old man submitted to laparoscopical sigmoid colectomy, due a sigmoid adenocarcinoma. During follow-up, a right inguinal lymphadenopathy with 25 mm was detected. Fine needle aspiration biopsy revealed that it was a colon adenocarcinoma metastasis, and thus the patient underwent an inguinal lymphadenectomy. The histological study confirmed metastatic adenocarcinoma of the colon and the patient was submitted to 5-fluouracil and oxaliplatin chemotherapy. This case coursed with metastasis to the right inguinal region; although, the pathophysiological mechanism involved is difficult to understand. There are no solid data for the management of these patients. Inguinal lymphadenectomy and chemotherapy, proved to be effective.

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“…Cutaneous metastases from colorectal cancer are rare in the absence of hepatic lesions and usually occur when disease spread has generalized [9, 12]. Our patient presented locoregional recurrence limited to the pelvis, without any signs of liver or lung metastases at the last radiographic assessment.…”

Section: Discussionmentioning

confidence: 86%

Atypical Phimosis Secondary to a Preputial Metastasis from Rectal Carcinoma

Gbenou

Wahidy²,

Llinares³

et al. 2011

Case Rep Oncol

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Background: Cutaneous metastases from colorectal cancer are uncommon, accounting for 6.5% of all secondary skin lesions. They occur in advanced disease. The most common site is the abdomen. The penis is a rare site. Case Report: We report the case of a 79-year-old patient who presented, two years after rectocolectomy for a rectal adenocarcinoma, obstructive renal failure secondary to a presacral recurrence, as well as symptomatic phimosis associated with papulonodules invading the penis, scrotum and pubis. After hemodialysis, percutaneous pyelostomy, and double-J catheter placement, the patient underwent circumcision and a pubic skin biopsy. On histology and immunohistochemistry, a cutaneous metastasis originating from the rectal adenocarcinoma was diagnosed. Conclusions: Penile invasion by colorectal cancer revealed by phimosis is a rare occurrence but needs to be recognized and promptly diagnosed by biopsy in order to propose appropriate adjuvant therapy. These rare lesions can occur without any liver or lung involvement.

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An unusual presentation of colon cancer

Cited by 11 publications

References 7 publications

Unusual Presentation of Cancer Colon

Unusual Presentation of Cancer Colon

Atypical presentation of sigmoid carcinoma

Atypical Phimosis Secondary to a Preputial Metastasis from Rectal Carcinoma

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