Vertebral Metastasis as the Initial Manifestation of Colon Cancer | Zendy

Tushina Jain | Zendy; Reneé Williams | Zendy; Benjamin Liechty | Zendy; Lea Ann Chen | Zendy

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Vertebral Metastasis as the Initial Manifestation of Colon Cancer

Author(s) -

Tushina Jain,

Reneé Williams,

Benjamin Liechty,

Lea Ann Chen

Publication year - 2016

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2016.95

Subject(s) - medicine , malignancy , adenocarcinoma , colonoscopy , colorectal cancer , metastasis , presentation (obstetrics) , cancer , radiology , oncology

Oncology guidelines currently recommend against performing colonoscopies in the workup of adenocarcinoma of unknown primary unless colonic malignancy is otherwise suggested by clinical signs or symptoms. We present 2 cases of metastatic colonic adenocarcinoma that presented only with neurologic symptoms from vertebral metastasis. Although bony metastases are a rare presentation of colon cancer and colonoscopy is not warranted in the initial workup of adenocarcinoma of unknown primary, we describe these cases as a reminder that bony metastases do not rule out a colon cancer diagnosis.

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