Carcinoma of caecum with subcutaneous metastasis

In colorectal cancer, subcutaneous/osseous metastasis without liver involvement is very rare. We present a case of 40 years old man who had carcinoma of caecum with a subcutaneous nodule in right upper arm. Preoperatively, he was diagnosed as a case of tuberculosis of ileocaecal junction or appendicular mass with rectal polyps along with calcified lipoma in right upper arm. On exploratory laparotomy, ileocaecal mass with mesenteric lymphadenopathy was seen. Specimen were sent for histopathology after right hemicolectomy and excision of subcutaneous lump which revealed adeno-carcinoma caecum with metastatic nodule in right upper arm