A Case of Young Colon Cancer Presenting as Neck Mass
Abstract
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. While non-regional lymphatic the involvement in colon primary is an uncommon finding, metastatic mediastinal and supraclavicular lymph node without the involvement of major intermediary organs like liver or lungs is extremely rare. We report the case of a 25-year-old male with colorectal cancer who had an unusual initial presentation as a progressively increasing left-sided neck mass. Early age of onset of colorectal malignancy without any bowel symptoms and presentation as metastasis to left supraclavicular node (Virchow’s node) without solid end-organ involvement makes this case novel.
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