Browsing by Author "Jesus, E"
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- Doença de CastlemanPublication . Leitão, S; Santos, R; Jesus, E; Santos, A; Crespo, J; Martins, Y; Nascimento-Costa, JM; Lopes, D; Simões, A; Julião, MJ; Silva, T; Severo, F; Porto, A
- Metastases supraclaviculares de adenocarcinoma do cólonPublication . Pais, A; Brehcist, E; Crespo, F; Jesus, E; Furtado, E; Gervásio, HThe most common histologic variant of colon cancer is adenocarcinoma and liver is the most frequent metastatic site. Supraclavicular lymph node metastases are rare. A few case reports describe supraclavicular lymph node metastases as the first clinical manifestation of colon cancer. The authors present the case report of a 41-year-old female patient with a conglomerate of lymph nodes in the left supraclavicular region. Biopsy confirmed metastases of a mucin-producing adenocarcinoma. Colonoscopy with biopsy revealed an obstructive invasive colorectal carcinoma probably of the transverse colon. The patient underwent explorative laparotomy which showed a carcinoma of the hepatic flexure that could not be removed with liver metastases and peritoneal carcinomatoses. Diagnostic approach and clinical evolution are discussed.