Carcinoma of the colon: an unusual cause of prolonged fever.
Solid tumors rarely present with fever. Among those that do, carcinoma of the colon has been infrequently reported as a primary cause of fever. This patient had carcinoma of the right colon with prolonged fever, but no evidence of infection or gastrointestinal symptoms. At surgical resection, a caecal adenocarcinoma was found with metastases to the mesentery and 10 of 40 lymph nodes. The patient's fever resolved after 3 days. The patient remained healthy during 8 years of follow-up. Right-sided colon cancer is not often considered in the complete evaluation of fever of undetermined cause.
Zahid
M A
MA
Department of Medicine, University of Kansas Medical Center, Kansas City 66160-7354, USA.
Estes
N
N
Luchi
M
M
Hinthorn
D R
DR
D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002430:Cecal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D008207:Lymphatic Metastasis; D008643:Mesentery / Q000473:pathology; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000556:secondary