Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2022; 10(23): 8262-8270
Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8262
Primary ascending colon cancer accompanying skip metastases in left shoulder skin and left neck lymph node: A case report
Jun-Chao Zhou, Jian-Jun Wang, Tao Liu, Qin Tong, Yue-Jun Fang, Zhang-Qiang Wu, Qiang Hong
Jun-Chao Zhou, Graduate School, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China
Jun-Chao Zhou, Jian-Jun Wang, Tao Liu, Qin Tong, Yue-Jun Fang, Zhang-Qiang Wu, Department of Surgical Oncology, Jinhua Guangfu Oncology Hospital, Jinhua 321000, Zhejiang Province, China
Qiang Hong, Department of General Surgery, The Fourth Affiliated Hospital Zhejiang University School of Medicine, Jinhua 322000, Zhejiang Province, China
Author contributions: Hong Q supervised the project; Zhou JC wrote the manuscript and performed the surgery; Wang JJ, Liu T, Tong Q, Fang YJ, and Wu ZQ collected clinical information, performed additional examinations, and assisted during surgery.
Informed consent statement: This case report was approved by the Institutional Ethical Committee in our hospital and written informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiang Hong, PhD, Doctor, Department of General Surgery, The Fourth Affiliated Hospital Zhejiang University School of Medicine, No. N1 Shangcheng Avenue, Yiwu City, Jinhua 322000, Zhejiang Province, China. hongqiang955@163.com
Received: January 27, 2022
Peer-review started: January 27, 2022
First decision: March 23, 2022
Revised: April 19, 2022
Accepted: July 11, 2022
Article in press: July 11, 2022
Published online: August 16, 2022
Processing time: 185 Days and 17.5 Hours
Core Tip

Core Tip: Colon cancer skip metastasis is rare, especially for skin skip metastasis in the left shoulder. Non-metastatic local lymph node involvement with metastasis to cervical lymph nodes suggested an unusual mechanism underlying tumor metastasis. Following resection of the primary and metastatic tumor tissues, the patient has no tumor recurrences and has a good prognosis, which may benefit future clinical treatment for colon cancer patients with skip metastases.