Cervical spine metastasis as a primary manifestation of occult colorectal carcinoma: Case report

Primary carcinoma of the gastrointestinal tract rarely presents with osseous metastases. The lumbar and thoracic spines are the most commonly reported sites of metastases. Cervical metastasis is rarely reported, but, when it occurs, is a late manifestation of the disease. We present a patient with an unusual case of colorectal cancer and cervical spine metastasis, who presented initially with neck pain. A vigilant approach to treatment is warranted to reduce the risk of neurological sequelae and to improve quality of life.