Métastase crânienne d’un adénocarcinome rectal: à propos d’un cas avec revue de la littérature

Samlali, H.; Bouchbika, Zineb; Bennani, Zineb; Taleb, Amina; Benchekroune, Nadia; Jouhadi, H.; Tawfiq, N.; Sahraoui, S.; Benider, Abdellatif

doi:10.11604/pamj.2017.26.58.9826

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Despite this, cases of metastatic dissemination in unusual sites have been described. Cases reported in the literature include the adrenal glands, the pituitary glands and thyroid gland [ 11 ], the heart, the bile duct [ 12 ], the brain [ 13 ] and, as in the case presented, the upper extremities [ 14 ]. Bone involvement is not usual for metastatic dissemination of rectal cancer but is typical in other types of cancer such as breast, thyroid, bronchial, renal and prostate cancer [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Aberrant single metastasis to the elbow from primary rectal cancer: a rare presentation

et al. 2020

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Rectal adenocarcinoma usually metastasizes to the liver and lungs and when it has bone spread, it more frequently involves the vertebrae and pelvis. Thus, aberrant metastasis from a rectal adenocarcinoma to upper extremities with preservation of intra-abdominal organs is very uncommon. We present the case of an 80-year-old male patient with a diagnosis of adenocarcinoma of the rectum T4N1M1 with non-axial single bone metastases and with preservation of visceral organs. Anterior resection of rectum after neoadjuvant chemotherapy and radiotherapy were made. The bone metastasis received palliative radiotherapy and was not resected. The patient died 10 months after diagnosis. This clinical situation generally has a poor prognosis. When the patient complains of unusual bone pain it is necessary to suspect a malignant disease and even if extraordinarily rare, rectal cancer must be considered as a possible cause.

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Section: Discussionmentioning

confidence: 99%

Aberrant single metastasis to the elbow from primary rectal cancer: a rare presentation

et al. 2020

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“…CRC usually metastasizes to regional lymph nodes, liver, lungs, and peritoneum; metastasis to bone is very rare and few cases have been reported in the literature [17,18]. This disease entity represents a very aggressive form of CRC.…”

Section: Casementioning

confidence: 99%

Colorectal Cancer in Adolescence: A Report of Two Cases

AYADI¹,

Basma²,

Rim³

et al. 2022

Clin Med Rev Case Rep

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Hidden colon adenocarcinoma diagnosed from mouth metastasis: case report and literature review

et al. 2023

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Background We report an unusual case of metastatic colon adenocarcinoma to the maxilla as an initial clinical sign of the disease, this being the second case reported in the palate. In addition, we show an extensive review of the literature, with clinical cases of adenocarcinoma with metastasis to the mouth. Case presentation An 80-year-old man complained of “swelling on the palate” with a 3-week evolution time. He reported suffering from constipation and high blood pressure. The intraoral examination revealed a pedunculated, red, and painless nodule on the maxillary gingiva. Under the diagnostic hypotheses of squamous cell carcinoma and malignant neoplasm of the salivary gland, an incisional biopsy was performed. Microscopically, the columnar epithelium was observed forming papillary areas, neoplastic cells with prominent nucleoli, hyperchromatic nuclei, atypical mitotic figures, and mucous cells, being positive for CK 20, suggesting the provisional diagnosis of metastatic adenocarcinoma, probably of gastrointestinal origin. The patient was submitted to endoscopy and colonoscopy exams, and a lesion in the sigmoid region of the colon was observed. After a colon biopsy, a moderately differentiated adenocarcinoma was confirmed, establishing the final diagnosis of metastatic neoplasia of colon adenocarcinoma to the oral lesion. The literature review revealed 45 clinical cases of colon adenocarcinoma with metastasis to the oral cavity. To the best of our knowledge, it is the second case on the palate. Conclusions Colon adenocarcinoma with metastasis to the oral cavity is rare but should be included in the differential diagnosis of neoplasms of the oral cavity, even when there are no known primary tumors in some cases, and this may be the first indication of the presence of a tumor.

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Métastase crânienne d’un adénocarcinome rectal: à propos d’un cas avec revue de la littérature

Cited by 5 publications

References 14 publications

Aberrant single metastasis to the elbow from primary rectal cancer: a rare presentation

Aberrant single metastasis to the elbow from primary rectal cancer: a rare presentation

Colorectal Cancer in Adolescence: A Report of Two Cases

Hidden colon adenocarcinoma diagnosed from mouth metastasis: case report and literature review

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