Vertebral metastasis as the initial manifestation of colon cancer

Tushina Jain, Renee Williams, Benjamin Liechty, Lea Ann Chen

Research output: Contribution to journalArticlepeer-review


Oncology guidelines currently recommend against performing colonoscopies in the workup of adenocarcinoma of unknown primary unless colonic malignancy is otherwise suggested by clinical signs or symptoms. We present 2 cases of metastatic colonic adenocarcinoma that presented only with neurologic symptoms from vertebral metastasis. Although bony metastases are a rare presentation of colon cancer and colonoscopy is not warranted in the initial workup of adenocarcinoma of unknown primary, we describe these cases as a reminder that bony metastases do not rule out a colon cancer diagnosis.

Original languageEnglish (US)
Article numbere122
JournalACG Case Reports Journal
Issue number4
StatePublished - 2016
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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