Solitary mediastinal lymph node metastasis in rectosigmoid carcinoma: A case report
IntroductionColorectal cancer most commonly metastasizes to the regional lymph nodes, liver, bone, lung, and brain. Metastases to mediastinal lymph nodes is a rare entity which has never been reported to be solitary.Case report We herein describe a 67-year-old male patient with a solitary mediastinal lymph node metastasis three years following the resection of his primary rectosigmoid carcinoma.
Pathological characteristics of the metastatic tissue and technical limitations in imaging modalities resulted in incongruity between follow-up CT and PET scans. Diagnosis of this distant metastasis has been confirmed through a mediastinoscopic biopsy.
Conclusions: Attention should be paid to the mediastinum when evaluating PET scan or CT films during follow-up of patients with colorectal cancer.
Using PET/CT instead of separate morphological and functional data sets favors better detection. Questions still remain concerning the ideal management protocol of such a presentation, the two main options being locoregional or chemotherapeutic.
Author: Khaled M Musallam, Ali T Taher, Ayman N Tawil, Zaher I Chakhachiro, Moh'd Z Habbal and Ali I Shamseddine
Credits/Source: Cases Journal 2008, 1:69
Published on: 2008-07-31
Copyright by the authors listed above - made available via BioMedCentral (Open Access). Please
make sure to read our disclaimer prior to contacting 7thSpace Interactive. To contact our editors, visit our online helpdesk. If you wish submit your own press release, click here.
Social Bookmarking
Digg this! | Post to del.icio.us | Post to Furl | Add to Netscape | Add to Yahoo! | Rojo
|
|
