Bottoms up: A Rare Case of Rectal Cancer to the Pancreas

Metastatic tumors of the pancreas are a rare occurrence, comprising 0.5%-5% of all pancreatic malignancies. Colorectal cancer (CRC) often metastasizes to the liver, lung, and/or local lymph nodes but rarely to the pancreas. In addition, patients with pancreatic metastasis from CRC ranged in age from 60 to 70 years. We present an intriguing case of a 42-year-old man with previously resected stage III rectal adenocarcinoma who developed a pancreatic head mass 6 months later. This case report demonstrates atypical metastatic spread of CRC in a younger patient.