Korean J Otolaryngol-Head Neck Surg.  2002 May;45(5):519-521.

A Case of Rectal Cancer with Neck Metastasis

• Kim J
• Hwang JS
• Park IS
• Rho YS

Abstract

The colorectal cancer frequently metastasizes to the liver, lung, peritoneum, bone, ovaries, and the adrenal glands. Neck metastasis from colorectal carcinoma, however, is extremely rare. We experienced a case of rectal cancer presenting with neck metastasis. The patient was a 45-year-old man who underwent pre-operative chemotherapy and radiotherapy, and low anterior resection with loop T-colostomy for adenocarcinoma of rectum. Six months later, he presented with palpable mass on the left neck, which progressively increased in size. CT scan showed a 4 X 3.5 X 2.5 cm-sized mass on the level III, IVB of left neck with sternocleidomastoid muscle infiltration. There was no evidence of distant metastasis. But biopsy of the mass revealed metastatic adenocarcinoma, and the histologic findings were similar to that of the primary rectal adenocarcinoma. We present this case of neck metastasis from rectal adenocarcinoma, with the review of literature.

Keyword

Adenocarcinoma; Neck; Metastasis

MeSH Terms

Adenocarcinoma
Adrenal Glands
Biopsy
Colorectal Neoplasms
Drug Therapy
Female
Humans
Liver
Lung
Middle Aged
Neck*
Neoplasm Metastasis*
Ovary
Peritoneum
Radiotherapy
Rectal Neoplasms*
Rectum
Tomography, X-Ray Computed