title: Cervical node metastasis as the first sign of cancer of the caecum.
abstract: 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.
authors.affiliation: 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
authors.forename: Luigi
authors.initials: L
authors.lastname: Basso
authors.forename: Luciano
authors.initials: L
authors.lastname: Izzo
authors.forename: Erika
authors.initials: E
authors.lastname: Calisi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Cavallaro
authors.forename: Umberto
authors.initials: U
authors.lastname: Costi
authors.forename: Antonio
authors.initials: A
authors.lastname: Ciardi
authors.forename: Francesca
authors.initials: F
authors.lastname: Fornari
authors.forename: Andrea
authors.initials: A
authors.lastname: Polistena
authors.forename: Giorgio
authors.initials: G
authors.lastname: De Toma
mesh_terms: 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*
chemical_list: D003287:Contrast Media; D019788:Fluorodeoxyglucose F18