title: Primary colon adenocarcinoma with metastatic disease to the rectum followed by the left axilla.
abstract: BACKGROUND
  Adenocarcinoma of the colon can metastasize to multiple organs but very rarely metastasizes to the axilla.
  
  
  METHODS
  We present a case of a 56-year-old male with metastatic colon adenocarcinoma that metastasized to the rectum and then the axilla. Three years after initial diagnosis and treatment of right colon mucinous adenocarcinoma a metastatic mass was found in the rectum. The mass was successfully resected, but within a year of finding the rectal mass, metastatic disease to the axilla was discovered.
  
  
  CONCLUSIONS
  This case provides valuable teaching points about routes of metastasis and the importance of continued clinical follow-up in patients diagnosed with adenocarcinoma of the colon.
authors.affiliation: Department of Neurosurgery, West Virginia University School of Medicine, Morgantown, WV.
authors.forename: Brandon
authors.initials: B
authors.lastname: Lucke-Wold
authors.affiliation: Department of Surgery, West Virginia University School of Medicine, Morgantown, WV.
authors.forename: Patrick C
authors.initials: PC
authors.lastname: Bonasso
authors.affiliation: Department of Surgery, West Virginia University School of Medicine, Morgantown, WV.
authors.forename: Riaz
authors.initials: R
authors.lastname: Cassim
keywords: Colon adenocarincoma; axillary metastasis; dot-blot detection; lymphatic flow; rectal adenocarcinoma