Metastatic Mayhem

Signet-ring cell carcinoma (SRCC) is a rare type of adenocarcinoma characterised by cancer cells that contain and secrete mucin. We present a unique case of SRCC with the primary lesion in ascending colon and numerous (>100) tumour deposits over the entire length of the gastrointestinal tract along with multiple metastasis in the peritoneum, liver, both lobes of lungs and cervical, mediastinal and abdominal metastatic lymphadenopathy. Primary presentation with such extensive metastatic disease has rarely been described in literature.