title: Metastatic signet ring colon cancer in a Caribbean young adult and review of the literature.
abstract: Colorectal cancer is the third most common neoplasm diagnosed in the USA, with less than 3% of patients younger than 40 years. Although most of the literature indicates that younger patients present with a higher stage and grade of cancer, mortality is not clearly correlated. Furthermore, the literature pertaining to colorectal cancer in the nonwhite youth is limited. In this case report, we report a case of aggressive colorectal cancer metastasizing in a young Afro-Caribbean woman with no known risk factors. The aim of this report is to raise awareness of this entity in the younger population, particularly in Afro-Caribbeans, which remains a highly understudied group compared with the rest of the US population.
authors.affiliation: SUNY Downstate Medical Center, Brooklyn, New York 11203, USA. charles.koczka@downstate.edu
authors.forename: Charles Philip
authors.initials: CP
authors.lastname: Koczka
authors.forename: Adam
authors.initials: A
authors.lastname: Goodman
mesh_terms: D018279:Carcinoma, Signet Ring Cell / Q000000981:diagnostic imaging / Q000556:secondary*; D015179:Colorectal Neoplasms / Q000000981:diagnostic imaging*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary; D008175:Lung Neoplasms / Q000556:secondary; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary; D014057:Tomography, X-Ray Computed; D055815:Young Adult