Colon adenocarcinoma first presenting as shoulder pain. Case report
| العنوان: | Colon adenocarcinoma first presenting as shoulder pain. Case report |
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| المؤلفون: | Laura Jimenez Alvarez, Manuel Mariano Diez Alonso, Isabel Maria Furtado Duarte Lobo Gonçalves, José Ignacio Busteros Moraza |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier BV, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, CT, computerized tomography, Colorectal cancer, AJCC/UICC, American Joint Committee on Cancer/Union for International Cancer Control, Colonoscopy, Context (language use), Article, PET, positron emission tomography, OS, overall survival, 03 medical and health sciences, 0302 clinical medicine, Case report, Biopsy, medicine, Colon adenocarcinoma, Pathological, MLH-1, multL homolog 1, medicine.diagnostic_test, business.industry, CA, carbohydrate antigen, Bone metastasis, Widespread Disease, MSI, microsatellite instability, medicine.disease, digestive system diseases, Gy, Gray (SI unit), PMS-2, PMS1 homolog 2, 030220 oncology & carcinogenesis, CRC, colorectal cancer, Microsatellite instability, 030211 gastroenterology & hepatology, Surgery, Radiology, CEA, carcinoembryonic antigen, Presentation (obstetrics), Solitary bone metastasis, business |
| الوصف: | Highlights • CRC is one of the top causes of death in high-income countries. • Colorectal primary tumours mostly disseminate to liver, lungs and peritoneum. • Bone metastases rarely belong to the unique and curable metastases group of patients. • Isolated colorectal cancer bone metastases are rare and usually associated with better prognosis. • Careful study of the behaviour of rare types of colonic tumours is essential to progress in scientific knowledge. Bone metastases of colorectal cancer (CRC) are uncommon and usually occur in the context of a widespread disease. A 77-year-old woman presented with increasing pain in the right shoulder which had started 5 months earlier. On examination, a hard mass arising from the right scapula was found. There were no other abnormal findings on body Computerized Tomography (CT). A biopsy confirmed a metastatic adenocarcinoma. Further colonoscopy revealed a colonic obstructive tumour. Both solitary metastasis and the primary tumour were treated, and patient maintains a progression-free status. This is an unusual form of presentation for a colon cancer. With this report we aimed to discuss the unique clinical and pathological features of this colonic cancer and call attention of the physicians' community for this atypical presentation. Isolated bone metastasis in CRC is a rare entity and there are only a few similar cases reported in the literature. |
| تدمد: | 2210-2612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c10d02435437c9023d71380166bfb72bTest https://doi.org/10.1016/j.ijscr.2020.07.023Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c10d02435437c9023d71380166bfb72b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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