CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.989 |
Resumo: | Introduction: Colorectal cancer is one of the most frequent cancers worldwide, being the third most common cancer diagnosed and corresponding to the second cause of death by cancer. Approximately 25% of patients have already disseminated disease at the time of diagnosis. Case Report: We present the case of a 68-year-old female patient presented with complaints of cervical mass. She was then submitted to a biopsy of the cervical adenopathy that revealed metastatic adenocarcinoma tissue with probable gastrointestinal origin. A work-up was performed and revealed a sigmoid colon adenocarcinoma. Due to associated morbidities she was submitted to supportive treatment. Discussion: This case demonstrates the singularity of metastatic pattern in colon carcinoma. The mechanism of distant lymph node metastases in colorectal cancer still remains uncertain, nevertheless this represents an advanced stage of the disease that bears a poor prognosis. Conclusion: Few reports in the literature showed a good outcome with primary tumor excision and adjuvant chemotherapy but this decision should be discussed in a multidisciplinary team in order to decide the best treatment option for each patient. |
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CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCERADENOPATIA CERVICAL COMO MANIFESTAÇÃO DE CANCRO DO CÓLONIntroduction: Colorectal cancer is one of the most frequent cancers worldwide, being the third most common cancer diagnosed and corresponding to the second cause of death by cancer. Approximately 25% of patients have already disseminated disease at the time of diagnosis. Case Report: We present the case of a 68-year-old female patient presented with complaints of cervical mass. She was then submitted to a biopsy of the cervical adenopathy that revealed metastatic adenocarcinoma tissue with probable gastrointestinal origin. A work-up was performed and revealed a sigmoid colon adenocarcinoma. Due to associated morbidities she was submitted to supportive treatment. Discussion: This case demonstrates the singularity of metastatic pattern in colon carcinoma. The mechanism of distant lymph node metastases in colorectal cancer still remains uncertain, nevertheless this represents an advanced stage of the disease that bears a poor prognosis. Conclusion: Few reports in the literature showed a good outcome with primary tumor excision and adjuvant chemotherapy but this decision should be discussed in a multidisciplinary team in order to decide the best treatment option for each patient.Introdução: O cancro colorectal é um dos cancros mais frequentes a nível mundial, sendo o terceiro cancro mais frequentemente diagnosticado e corresponde à segunda causa de morte por cancro. Cerca de 25% dos doentes apresentam doença disseminada à data de diagnóstico. Caso Clínico: Os autores apresentam o caso de uma doente de 68 anos, do sexo feminino, que se apresentou com queixas de uma tumefacção cervical. Foi posteriormente submetida a biópsia excisional que revelou a presença de metástase de adenocarcinoma provavelmente intestinal. Foi realizado o estudo complementar com identificação de um adenocarcinoma do cólon sigmoide. Devido às morbilidades associadas foi oferecido tratamento de suporte. Discussão: Este caso representa a singularidade do padrão de metastização do cancro do cólon. O mecanismo de metastização ganglionar à distância não se encontra totalmente esclarecido, no entanto, representa um estadio de doença avançado com um mau prognóstico associado. Conclusão: Alguns casos na literatura demonstraram bons resultados com a excisão do tumor primário seguida de quimioterapia adjuvante, esta decisão deve ser realizada por uma equipa multidisciplinar de forma a avaliar a melhor opção terapêutica para cada doente.Sociedade Portuguesa de Cirurgia2023-06-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.989https://doi.org/10.34635/rpc.989Revista Portuguesa de Cirurgia; No 55 (2023): June; 41-43Revista Portuguesa de Cirurgia; No 55 (2023): June; 41-432183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/989https://revista.spcir.com/index.php/spcir/article/view/989/679Copyright (c) 2023 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessRODRIGUES, Ana Catarina M.ALVES, Duarte GilFERNANDES, SaraCAIRES, António GirãoFERNANDES, JorgeCALDEIRA, Carmo2024-03-14T22:04:51Zoai:revista.spcir.com:article/989Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:44.552244Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER ADENOPATIA CERVICAL COMO MANIFESTAÇÃO DE CANCRO DO CÓLON |
title |
CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER |
spellingShingle |
CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER RODRIGUES, Ana Catarina M. |
title_short |
CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER |
title_full |
CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER |
title_fullStr |
CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER |
title_full_unstemmed |
CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER |
title_sort |
CERVICAL LYMPHADENOPATHY AS INITIAL MANIFESTATION OF COLON CANCER |
author |
RODRIGUES, Ana Catarina M. |
author_facet |
RODRIGUES, Ana Catarina M. ALVES, Duarte Gil FERNANDES, Sara CAIRES, António Girão FERNANDES, Jorge CALDEIRA, Carmo |
author_role |
author |
author2 |
ALVES, Duarte Gil FERNANDES, Sara CAIRES, António Girão FERNANDES, Jorge CALDEIRA, Carmo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
RODRIGUES, Ana Catarina M. ALVES, Duarte Gil FERNANDES, Sara CAIRES, António Girão FERNANDES, Jorge CALDEIRA, Carmo |
description |
Introduction: Colorectal cancer is one of the most frequent cancers worldwide, being the third most common cancer diagnosed and corresponding to the second cause of death by cancer. Approximately 25% of patients have already disseminated disease at the time of diagnosis. Case Report: We present the case of a 68-year-old female patient presented with complaints of cervical mass. She was then submitted to a biopsy of the cervical adenopathy that revealed metastatic adenocarcinoma tissue with probable gastrointestinal origin. A work-up was performed and revealed a sigmoid colon adenocarcinoma. Due to associated morbidities she was submitted to supportive treatment. Discussion: This case demonstrates the singularity of metastatic pattern in colon carcinoma. The mechanism of distant lymph node metastases in colorectal cancer still remains uncertain, nevertheless this represents an advanced stage of the disease that bears a poor prognosis. Conclusion: Few reports in the literature showed a good outcome with primary tumor excision and adjuvant chemotherapy but this decision should be discussed in a multidisciplinary team in order to decide the best treatment option for each patient. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-23 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.989 https://doi.org/10.34635/rpc.989 |
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https://doi.org/10.34635/rpc.989 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/989 https://revista.spcir.com/index.php/spcir/article/view/989/679 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 55 (2023): June; 41-43 Revista Portuguesa de Cirurgia; No 55 (2023): June; 41-43 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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