Metastatic Colon Cancer in an 18-Year-Old without Predisposing Factors

While colorectal carcinoma is a common gastrointestinal cancer in adults, it is rare in pediatrics with an incidence of 1 : 1,000,000 and represents a fraction of neoplasms encountered in children. Malignant neoplasms represent a major cause of mortality in the pediatric age group. While presenting...

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Main Authors: Mirchandani, Divya, Kulpa, Jolanta, Khawar, Nayaab, Kochin, Israel, Narula, Pramod, Sundaram, Revathy
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4826687/
id pubmed-4826687
recordtype oai_dc
spelling pubmed-48266872016-04-24 Metastatic Colon Cancer in an 18-Year-Old without Predisposing Factors Mirchandani, Divya Kulpa, Jolanta Khawar, Nayaab Kochin, Israel Narula, Pramod Sundaram, Revathy Case Report While colorectal carcinoma is a common gastrointestinal cancer in adults, it is rare in pediatrics with an incidence of 1 : 1,000,000 and represents a fraction of neoplasms encountered in children. Malignant neoplasms represent a major cause of mortality in the pediatric age group. While presenting with weight loss, iron deficiency, rectal bleeding, abdominal pain, and change in bowel habits, or symptoms similar to acute appendicitis, the working diagnosis may be considered to be anorexia. This case illustrates the importance of considering colon cancer among other disease entities as a cause of unintentional weight loss in adolescents. While this is a rare occurrence in the pediatric population, significant unintentional weight loss with altered bowel habits should prompt a search for underlying malignancy—even in the absence of a positive family history or predisposing cancer syndromes. Hindawi Publishing Corporation 2016 2016-03-27 /pmc/articles/PMC4826687/ /pubmed/27110420 http://dx.doi.org/10.1155/2016/7820367 Text en Copyright © 2016 Divya Mirchandani et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Mirchandani, Divya
Kulpa, Jolanta
Khawar, Nayaab
Kochin, Israel
Narula, Pramod
Sundaram, Revathy
spellingShingle Mirchandani, Divya
Kulpa, Jolanta
Khawar, Nayaab
Kochin, Israel
Narula, Pramod
Sundaram, Revathy
Metastatic Colon Cancer in an 18-Year-Old without Predisposing Factors
author_facet Mirchandani, Divya
Kulpa, Jolanta
Khawar, Nayaab
Kochin, Israel
Narula, Pramod
Sundaram, Revathy
author_sort Mirchandani, Divya
title Metastatic Colon Cancer in an 18-Year-Old without Predisposing Factors
title_short Metastatic Colon Cancer in an 18-Year-Old without Predisposing Factors
title_full Metastatic Colon Cancer in an 18-Year-Old without Predisposing Factors
title_fullStr Metastatic Colon Cancer in an 18-Year-Old without Predisposing Factors
title_full_unstemmed Metastatic Colon Cancer in an 18-Year-Old without Predisposing Factors
title_sort metastatic colon cancer in an 18-year-old without predisposing factors
description While colorectal carcinoma is a common gastrointestinal cancer in adults, it is rare in pediatrics with an incidence of 1 : 1,000,000 and represents a fraction of neoplasms encountered in children. Malignant neoplasms represent a major cause of mortality in the pediatric age group. While presenting with weight loss, iron deficiency, rectal bleeding, abdominal pain, and change in bowel habits, or symptoms similar to acute appendicitis, the working diagnosis may be considered to be anorexia. This case illustrates the importance of considering colon cancer among other disease entities as a cause of unintentional weight loss in adolescents. While this is a rare occurrence in the pediatric population, significant unintentional weight loss with altered bowel habits should prompt a search for underlying malignancy—even in the absence of a positive family history or predisposing cancer syndromes.
publisher Hindawi Publishing Corporation
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4826687/
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