Saudi Journal of Gastroenterology
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CASE REPORT
Year : 2011  |  Volume : 17  |  Issue : 2  |  Page : 149-151

Positron emission tomography scan reveals an unusual source for cervical lymphadenopathy: Right colon cancer


1 Department of Surgery, University of Trieste and Cattinara Hospital, Strada di Fiume, Trieste, Italy
2 Department of Biological Sciences and Human Oncology, Section of General and Oncologic Surgery, University Medical School of Bari, Policlinico, Bari, Italy

Correspondence Address:
Giuseppe Piccinni
Department of Biological Sciences and Human Oncology, Section of General and Oncologic Surgery, University Medical School of Bari, Policlinico, Piazza G. Cesare 11, 70124, Bari
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.77249

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Cervical lymphadenopathy is usually related to the presence of an inflammatory disease or to a malignant localization. In the event of metastatic findings, the thyroid gland is the most likely primary site of a tumor. Metastatic lymphadenopathy represents a challenge when the primary tumor is unknown. A 64-year-old female with a supraclavicular palpable mass in the absence of underlying thyroid disease underwent ultrasonography of the neck, biopsy of the pathological lymph node, fluorodeoxyglucose-Positron Emission Tomography (FDG-PET) and colonoscopy until right colon cancer was diagnosed. FDG-PET is a fast and reliable tool to discover the primary site of cervical masses of unknown origin.


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