Positron Emission Tomography Scan Reveals an Unusual Source for Cervical Lymphadenopathy: Right Colon Cancer
2011

Unusual Cause of Neck Swelling: Right Colon Cancer

Sample size: 1 publication Evidence: low

Author Information

Author(s): Silvia Casagranda, Biagio Piccinni, Giuseppe de Manzini

Primary Institution: Department of Surgery, University of Trieste and Cattinara Hospital

Hypothesis

Can FDG-PET effectively identify the primary site of cervical lymphadenopathy of unknown origin?

Conclusion

FDG-PET is a fast and reliable tool for diagnosing the primary site of cervical masses when the origin is unknown.

Supporting Evidence

  • FDG-PET can detect the primary site in about 25% of cases of cancer of unknown primary.
  • Colorectal cancer is the second most common malignancy in developed countries.
  • Symptoms of right colon cancer include anemia, asthenia, and abdominal pain.

Takeaway

A woman had a lump in her neck, and doctors used a special scan to find out it was caused by cancer in her colon, not her thyroid.

Methodology

The patient underwent ultrasonography, biopsy, FDG-PET, and colonoscopy.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

64-year-old female

Digital Object Identifier (DOI)

10.4103/1319-3767.77249

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