title: An unusual cause of thigh pain in colonic cancer. Inflammatory oncotaxis?
abstract: Colonic carcinoma metastasis in order of frequency to the liver, lung, bone and brain. Metastases elsewhere are unusual. We report a very rare case of metastatic spread to skeletal muscle and skin. There follows a review of the theories of anomalous metastatic localization. Inflammatory oncotaxis is offered as the most likely explanation of this phenomenon. The importance of good history taking in colorectal cancer follow up clinics is emphasised.
authors.affiliation: Department of Surgery, Queen Elizabeth Hospital, King's Lynn, Norfolk, U.K.
authors.forename: F F
authors.initials: FF
authors.lastname: Palazzo
authors.forename: N E
authors.initials: NE
authors.lastname: New
authors.forename: P T
authors.initials: PT
authors.lastname: Cullen
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D000368:Aged; D001707:Biopsy, Needle; D001858:Bone Nails; D003082:Colectomy; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000473:pathology* / Q000601:surgery; D017809:Fatal Outcome; D005264:Femoral Fractures / Q000517:prevention & control*; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D019042:Muscle Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D013848:Thigh; D014057:Tomography, X-Ray Computed