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A Rare Case of Colorectal Cancer With Delayed Metastasis to the Duodenum
Ammad Javaid Chaudhary1, Abdulmalik Saleem1, Muhammad Shahzil2
1Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan 48202, USA.
Abstract:
Colorectal cancer (CRC) continues to be a significant global health issue contributing to a high mortality rate. Despite advancements in treatment, the risk of recurrence remains due to inherent mutations and the rapid turnover of intestinal mucosa. We present an exceptionally rare case of CRC metastasis to the duodenum in a 42-year-old female who has been compliant with postsurgical surveillance. Despite previous negative surveillance results, elevated CEA levels and a 3-cm mesenteric mass were detected, raising concerns for carcinoma, which was later confirmed by biopsy. The tumor board deemed her ineligible for surgery due to vascular involvement, leading to palliative care and an attempt at neoadjuvant therapy. Vigilant monitoring is crucial for early detection and intervention.
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