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Case ReportCASE REPORTS AND CLINICAL OBSERVATIONS
Open Access

Left Cervical Lymphadenopathy Presentation of Metastatic Colorectal Adenocarcinoma

Diana Maslov and James Bragg
Ochsner Journal December 2019, 19 (4) 410-412; DOI: https://doi.org/10.31486/toj.18.0121
Diana Maslov
1The University of Queensland Faculty of Medicine, Ochsner Clinical School, ,
2Department of Internal Medicine, Ochsner Clinic Foundation, ,
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James Bragg
1The University of Queensland Faculty of Medicine, Ochsner Clinical School, ,
2Department of Internal Medicine, Ochsner Clinic Foundation, ,
3Department of Primary Care, Ochsner Clinic Foundation, ,
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  • For correspondence: jbragg@ochsner.org
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Abstract

Background: Colorectal adenocarcinoma, the third most diagnosed cancer in males and the second most diagnosed in females, commonly presents with changes in bowel habits, rectal bleeding, weight loss, fatigue, and abdominal pain. We report the case of a patient with colorectal cancer who had an unusual initial presentation.

Case Report: The patient reported dizziness, and physical examination revealed cervical lymphadenopathy. Fine needle aspiration of the lymph node supported a diagnosis of adenocarcinoma, and colonoscopy found a mass in the hepatic flexure that was biopsied and identified as adenocarcinoma. The patient was treated with 5-fluorouracil, leucovorin, and oxaliplatin (FOLFOX) and bevacizumab. Imaging and physical examination 4 months later confirmed resolution of the mass and lymphadenopathy.

Conclusion: The patient is regularly followed by hematology/oncology and his primary care physician. He has shown no evidence of recurrence to date. This case supports the necessity of a complete workup and imaging when any solid lymphadenopathy is present.

Keywords:
  • Adenocarcinoma
  • colorectal neoplasms
  • lymphadenopathy
  • lymphatic metastasis
  • metastasis
  • ©2019 by the author(s); Creative Commons Attribution License (CC BY)

©2019 by the author(s); licensee Ochsner Journal, Ochsner Clinic Foundation, New Orleans, LA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (creativecommons.org/licenses/by/4.0/legalcode) that permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

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Ochsner Journal: 19 (4)
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Vol. 19, Issue 4
Dec 2019
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Left Cervical Lymphadenopathy Presentation of Metastatic Colorectal Adenocarcinoma
Diana Maslov, James Bragg
Ochsner Journal Dec 2019, 19 (4) 410-412; DOI: 10.31486/toj.18.0121

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Left Cervical Lymphadenopathy Presentation of Metastatic Colorectal Adenocarcinoma
Diana Maslov, James Bragg
Ochsner Journal Dec 2019, 19 (4) 410-412; DOI: 10.31486/toj.18.0121
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Keywords

  • Adenocarcinoma
  • colorectal neoplasms
  • lymphadenopathy
  • lymphatic metastasis
  • metastasis

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