Unusual Spreading of Colon Adenocarcinoma into the Right Hip Area: A Case Report

Renata Dobrila Dintinjana, Duška Petranović, Gorazd Pilčič, Vjekoslav Ilijic, Davor Petranović, Marijan Dintinjana

Department of Internal Medicine, Salem Hospital, Bern, Switzerland.
Department of Internal Medicine, University Hospital Center Rijeka, Rijeka, Croatia.
Department of Oncology, University Hospital Center Rijeka, Rijeka, Croatia.
Department of Radiology, Medico Polyclinic, Rijeka, Croatia.
Private Clinic of Dr. Dintinjana, Rijeka, Croatia.

DOI: 10.4236/jct.2012.326126                

Abstract

Adenocarcinoma is the most common colon cancer type. This form of colonic neoplasms usually metastasizes initially to regional lymphatic system and through the blood circulation to the lungs and liver, while other forms of expansion and involvement of other organ systems are less common. Extraluminal carcinoma is very rare. Only a few authors describe the direct spread of cancer to adjacent structures and organs. In this paper we present a case of a 76-year old patient with tumor mass extending from the colon to the right hip area “per continuitatem”. The patient had no symptoms and signs that would indicate the presence of neoplastic process in the colon. Only a discomfort in right leg was present and finally tumor mass was visualized. Biopsy and patohistology findings confirmed final diagnosis and type of tumor in the right hip region. Pathohistologicaly tumor was adenocarcinoma.

Keywords

Colon Adenocarcinoma; Local Spreading; Right Hip

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	R. Dobrila-Dintinjana, D. Trivanovic, M. Dintinjana, J. Vukelic and N. Vanis, “Effects of Dietary Counseling on Patients with Colorectal Cancer,” In: R. Etarh, Ed., Colorectal Cancer from Prevention to Patient Care, InTech, Rijeka, pp. 211-226.
[2]	D. Mayers, “Colon Polyps and Cancer Risk,” 2007. http://coloncancer.about.com/od/screening/a/Polyps.htm
[3]	P. W. Carne, J. N. Frye, A. Kennedy-Smith, J. Keating, A. Merrie, E. Dennett and F. A. Frizelle, “Local Invasion of the Bladder with Colorectal Cancers: Surgical Management and Patterns of Local Recurrence,” Disease of Colon Rectum, Vol. 47, No. 1, 2004, pp. 44-47. doi:10.1007/s10350-003-0011-z
[4]	H Ueno, C Yamauchi, K Hase, T Ichikura and H. Mochizuki, “Clinicopathological Study of Intrapelvic Cancer Spread to the Iliac Area in Lower Rectal Adenocarcinoma by Serial Sectioning,” British Journal of Surgery, Vol. 86, No. 12, 1999, pp. 1532-1537. doi:10.1046/j.1365-2168.1999.01271.x
[5]	M. Astin, T. Griffin, R. D. Neal, P. Rose and W. Hamilton, “The Diagnostic Value of Symptoms for Colorectal Cancer in Primary Care: A Systematic Review,” The British Journal of General Practice: The Journal of the Royal College of General Practitioners, Vol. 61, No. 586, 2011, pp. 231-243.
[6]	P. Cervera and J. F. Fléjou, “Changing Pathology with Changing Drugs: Tumors of the Gastrointestinal Tract,” Pathobiology, Vol. 78, No. 2, 2011, pp. 76-89. doi:10.1159/000315535
[7]	M. S. Cappell, “Pathophysiology, Clinical Presentation, and Management of Colon Cancer,” Gastroenterology Clinics of North America, Vol. 37, No. 1, 2008, pp. 1-24. doi:10.1016/j.gtc.2007.12.002
[8]	A. P. Wimmer, J. P. Bouffard, P. R. Storms, J. A. Pilcher, C. Y. Liang and J. J. DeGuide, “Primary Colon Cancer without Gross Mucosal Tumor: Unusual Presentation of a Common Malignancy,” Southern Medical Journal, Vol. 91, No. 12, 1998, pp. 1173-1176. doi:10.1097/00007611-199812000-00017
[9]	K. J. d’Silva, A. J. Dwivedi, A. Shetty and S. Prakash, “An Unusual Presentation of Colon Cancer in a Young Individual,” Digestive Diseases and Sciences, Vol. 50, No. 6, 2005, pp. 1033-1035. doi:10.1007/s10620-005-2699-1
[10]	H. Wong, K. S. Law, P. Chan and T. Yau, “An Unusual Presentation of a Colon Cancer Patient Case Report,” Cancer Therapy, Vol. 6, 2008, pp. 783-786.
[11]	E. W. Toh, B. Griffiths and M. Farooq, “An Atypical Presentation of Colorectal Cancer,” Journal of Surgical Case Reports, Vol. 1, 2012, p. 2.
[12]	F. Fahrtash, D. Chan, A. Colebatch and J. Rutovitz, “A Very Unusual Presentation of Metastatic Colon Cancer,” ISRN Oncology, Vol. 2011, 2011, Article ID: 531803.
[13]	L. K. Tumwine, M. Kagimu, P. Ocama, I. Segamwenge, N. Masiira-Mukasa, D. Wamala, O. Dworak and C. K. Opio, “Atypical Presentation of Colon Adenocarcinoma: A Case Report,” Journal of Medical Case Reports, Vol. 6, 2012, p. 58. doi:10.1186/1752-1947-6-58
[14]	F. Cellini and V. Valentini, “Current Perspectives on Preoperative Integrated Treatments for Locally Advanced Rectal Cancer: A Review of Agreement and Controversies,” Oncology (Williston Park), Vol. 26, No. 8, 2012, pp. 730-735, 741.