Subcutaneous Metastatic Adenocarcinoma: An Unusual Presentation of Colon Cancer – Case Report and Literature Review

Llaguna, Omar H.; Desai, Payal; Fender, Anne; Zedek, Daniel C.; Meyers, Michael O.; O’Neil, Bert H.; Díaz, Luis A.; Calvo, Benjamin F.

doi:10.1159/000321948

Cited by 15 publications

(14 citation statements)

References 8 publications

(14 reference statements)

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“…Adenocarcinoma of colon can also rarely show metastasis to subcutaneous tissue in the final stages of the disease [14]. Role of the FNAC is very rarely emphasized in the literature [1,4].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Subcutaneous Metastatic Deposits by Fine Needle Aspiration

Geramizadeh¹

2012

J Cytol Histol

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Objectives: Subcutaneous tissue is an uncommon site of metastasis. Overall it can be seen in 0.8-4% of the malignancies. Fine Needle Aspiration Cytology (FNAC) is a method for the diagnosis of subcutaneous metastasis and to exclude other differential diagnoses such as primary cutaneous tumors or inflammatory process. In this study we want to report our experience with Fine Needle Aspiration (FNA) of subcutaneous metastasis in 25 patients with known malignancy.Study design: During 3 years, among more than 10000 cytology cases, we had 25 patients with different types of malignancy who were referred with subcutaneous nodules. FNA was performed. Results:In these 25 patients, there were 15 males and 10 female patients (22-80 years of age). Most common malignancy was breast cancer and the most common site of metastasis was subcutaneous tissue of chest wall. FNAC was 100% accurate for the diagnosis of subcutaneous metastasis. There were no false positive and false negative cases. Discussion and conclusion: FNAC is an accurate, noninvasive and fast method for the diagnosis of subcutaneous metastasis in the patients with a known malignancy without any complication.

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“…Adenocarcinoma of colon can also rarely show metastasis to subcutaneous tissue in the final stages of the disease [14]. Role of the FNAC is very rarely emphasized in the literature [1,4].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Subcutaneous Metastatic Deposits by Fine Needle Aspiration

Geramizadeh¹

2012

J Cytol Histol

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“…These tumors are often more advanced at diagnosis and have a poorer prognosis than nonmucinous colorectal adenocarcinomas [3]. Additionally, they can recur as fungating skin lesions [4,5]. Therefore, in the presented case, "en bloc" excision of the invaded abdominal wall with the mucinous tumor was performed in order to avoid future fungating recurrence.…”

Section: Discussionmentioning

confidence: 99%

An unusual radiological presentation of mucinous adenocarcinoma of the colon

Swann

Kaczynski

2016

IMAS

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Abstract:We report a case of an elderly patient presenting with the left iliac fossa mass. The provisional diagnosis included an infl ammatory diverticular mass or sigmoid colon cancer. Interestingly, computed tomography (CT) of the abdomen and pelvis demonstrated the left incarcerated Spigelian hernia containing an infl amed loop of the colon with signs of an early strangulation. However, at operation, a mucinous tumor was found involving the descending and upper sigmoid colon. The tumor eroded through the anterior abdominal wall, which was excised "en bloc." In the presented case, CT fi ndings suggestive of a benign etiology were misleading. This potentially could have had signifi cant consequences if the patient was treated conservatively.This case highlights that clinical history and examination remain the core components of a safe surgical practice. Clinical judgment cannot be substituted even by the best quality imaging.Therefore, we feel that it is important to share our experience of the successful management of the presented case.

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“…In many cases, the spread pathway of rare metastasis is not well defined. If tumor cells invade blood vessels, they may originate a distant cutaneous metastasis, while if they invade lymphatic vessels, the most common result will be a late local recurrence [3] [11].…”

Section: Discussionmentioning

confidence: 99%

Axillary Lymph Node Metastasis of Colon Cancer—Case Report and Literature Review

Devesa¹,

Pereira²,

Gonçalves³

et al. 2014

CRCM

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The most common metastatic sites of colon cancer are local lymph nodes, liver and lungs. Lymph node metastasis at distant sites is rare. In this article, we describe the case of a patient with ascending colon cancer with a metastasis in an axillary lymph node. The clinical presentation of this tumor was with an intestinal obstruction, and an emergency resection surgery was undertaken. The patient died at the third post-operative month, with lymph node and hepatic metastasis, and implants in the abdominal fat and in the mesentery, near the ileocolic anastomosis.

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Subcutaneous Metastatic Adenocarcinoma: An Unusual Presentation of Colon Cancer – Case Report and Literature Review

Cited by 15 publications

References 8 publications

Diagnosis of Subcutaneous Metastatic Deposits by Fine Needle Aspiration

Diagnosis of Subcutaneous Metastatic Deposits by Fine Needle Aspiration

An unusual radiological presentation of mucinous adenocarcinoma of the colon

Axillary Lymph Node Metastasis of Colon Cancer—Case Report and Literature Review

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