Cervical node metastasis as the first sign of cancer of the caecum.
The unusual case of an adenocarcinoma of the caecum undiagnosed until the appearance of a large neck and axillary mass is reported. To our knowledge, this is the first reported case of cervical node metastasis as the first sign of a caecal cancer, and 18 fluorine-18-labeled 2-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) proved critical in achieving the correct diagnosis. When an adenocarcinoma is found in the neck or axilla, even an abdominal primary location such as the large bowel can be taken into account and employment of FDG-PET should be considered.
Basso
Luigi
L
Cattedra di Chirurgia Generale, Divisione di Chirurgia B, Department of Surgery Pietro Valdoni, University of Rome La Sapienza First Medical School, Policlinico Umberto I, Rome, Italy. luigi.basso@uniroma1.it
Izzo
Luciano
L
Calisi
Erika
E
Cavallaro
Giuseppe
G
Costi
Umberto
U
Ciardi
Antonio
A
Fornari
Francesca
F
Polistena
Andrea
A
De Toma
Giorgio
G
D000368:Aged; D002430:Cecal Neoplasms / Q000175:diagnosis / Q000556:secondary*; D003287:Contrast Media; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D009362:Neoplasm Metastasis; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000473:pathology*
D003287:Contrast Media; D019788:Fluorodeoxyglucose F18