Axillary Lymph Node Metastasis of Colon Cancer—Case Report and Literature Review

Helena Devesa, Luísa Pereira, Álvaro Gonçalves, Telma Brito, Teresa Almeida, Rui Torres, Alberto Midões

Serviço de Cirurgia Geral, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.

DOI: 10.4236/crcm.2014.312141                

Abstract

The most common metastatic sites of colon cancer are local lymph nodes, liver and lungs. Lymph node metastasis at distant sites is rare. In this article, we describe the case of a patient with ascending colon cancer with a metastasis in an axillary lymph node. The clinical presentation of this tumor was with an intestinal obstruction, and an emergency resection surgery was undertaken. The patient died at the third post-operative month, with lymph node and hepatic metastasis, and implants in the abdominal fat and in the mesentery, near the ileocolic anastomosis.

Keywords

Colon Cancer, Axillary Metastasis, Unusual Metastasis

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Suzuki, T., et al. (2006) Metastasis of Colon Cancer to Axillary Lymph Nodes. Jikeikai Medical Journal, 53, 167-170.
[2]	Kikuchi, I., et al. (2012) A Case Report of Surgical Treatment for Axillary Lymph Node Metastasis from Descending Colon Cancer. GanTo Kagaku Ryoho, 39, 2252-2254.
[3]	Gubitosi, A., et al. (2009) Unusual Metastasis of Left Colon Cancer: Considerations on Two Cases. Acta Biomedica, 80, 80-82.
[4]	Chieco, P.A., et al. (2011) Solitary Left Axillary Metastasis after Curative Surgery for Right Colon Cancer. ANZ Journal of Surgery, 81, 846-847. http://dx.doi.org/10.1111/j.1445-2197.2011.05869.x
[5]	Fujii, T., et al. (2011) Process of Distant Lymph Node Metastasis in Colorectal Carcinoma: Implication of Extracapsular Invasion of Lymph Node Metastasis. BMC Cancer, 11, 216. http://dx.doi.org/10.1186/1471-2407-11-216
[6]	Yano, H., et al. (2006) Tumor Invasion of Lymph Node Capsules in Patients with Dukes C Colorectal Adenocarcinoma. Diseases of the Colon & Rectum, 49, 1867-1877. http://dx.doi.org/10.1007/s10350-006-0733-9
[7]	Tang, R., et al. (1995) Survival Impact of Lymph Node Metastasis in TNM Stage III Carcinoma of the Colon and Rectum. Journal of the American College of Surgeons, 180, 705-712.
[8]	Gastrointestinal Tumor Study Group (1984) Adjuvant Therapy of Colon Cancer-Results of a Prospectively Randomized Trial. New England Journal of Medicine, 310, 737-743. http://dx.doi.org/10.1056/NEJM198403223101201
[9]	Jass, J.R., Love, S.B. and Northover, J.M. (1987) A New Prognostic Classification of Rectal Cancer. Lancet, 1, 1303-1306. http://dx.doi.org/10.1016/S0140-6736(87)90552-6
[10]	Pisanu, A., et al. (2011) Unusual Metachronous Isolated Inguinal Lymph Node Metastasis from Adenocarcinoma of the Sigmoid Colon. World Journal of Surgical Oncology, 9, 128. http://dx.doi.org/10.1186/1477-7819-9-128
[11]	Llaguna, O.H., et al. (2010) Subcutaneous Metastatic Adenocarcinoma: An Unusual Presentation of Colon Cancer— Case Report and Literature Review. Case Reports in Oncology, 3, 386-390. http://dx.doi.org/10.1159/000321948
[12]	Hess, K.R., et al. (2006) Metastatic Patterns in Adenocarcinoma. American Cancer Society, 106, 1624-1633.