Acta Medica Indonesiana - The Indonesian Journal of Internal Medicine 333 Supraclavicular Lymphnodes: Unusual Manifestation of Metastase Adenocarcinoma Colon

Authors

  • Harijono Achmad Department of Internal Medicine, Faculty of Medicine Brawijaya University - Saiful Anwar Hospital, Malang, Indonesia
  • Rofika Hanifa Department of Internal Medicine, Faculty of Medicine Brawijaya University - Saiful Anwar Hospital, Malang, Indonesia

Abstract

We report a patient with supraclavicular lymph node metastasis from an undetectable adenocarcinoma of the transverse colon, who presented with cough and was diagnosed with typhoid fever, bronchitis as well as liver metastasis. There were an abdominal fullness, weight loss, constipation, pencil-like stool with mucous and blood, low-grade fever, bone ache, and tea-color urine. The first colonoscopy revealed lymphocytic ileitis and microscopic findings also showed lymphocytic ileitis. Abdominal USG and CT revealed liver metastasis of unknown origin. Based on the clinical sign and symptoms, we suspected that colorectal carcinoma was the primary site. Then, the second colonoscopy was performed and it revealed a small polyp, which was followed with a biopsy and the result supported a well-differentiated colon adenocarcinoma. Similar result was also revealed by the histopathological evaluation. This is an unusual case of liver and supraclavicular lymph node metastasis arising from a small polyp adenocacinoma of the transverse colon.Key words: liver metastase, colorectal carcinoma, lymph node.

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Published

2015-12-01

How to Cite

Achmad, H., & Hanifa, R. (2015). Acta Medica Indonesiana - The Indonesian Journal of Internal Medicine 333 Supraclavicular Lymphnodes: Unusual Manifestation of Metastase Adenocarcinoma Colon. Acta Medica Indonesiana, 47(4). Retrieved from https://www.actamedindones.org/index.php/ijim/article/view/26

Issue

Vol. 47 No. 4 (2015)

Section

CASE REPORT

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