Acral Metastasis in a Patient with Ampullary Carcinoma.
10.3904/kjim.2007.22.1.55
- Author:
Eun Young CHO
1
;
Tae Hyeon KIM
;
Seok Don PARK
;
Ki Jung YUN
;
Suck Chei CHOI
;
Haak Cheoul KIM
;
Yong Ho NAH
Author Information
1. Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. medcsc@wmc.wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Ampulla of Vater;
Adenocarinoma;
Metastasis
- MeSH:
Skin Neoplasms/*secondary;
Prognosis;
Male;
Humans;
Fatal Outcome;
Common Bile Duct Neoplasms/*pathology;
Ampulla of Vater/*pathology;
Aged;
Adenocarcinoma/*pathology
- From:The Korean Journal of Internal Medicine
2007;22(1):55-58
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although skin metastasis from a malignant tumor of an internal organ usually occurs at an advanced disease stage, there has been no prior report of a cutaneous acral metastasis from ampullary carcinoma to date. We report a 71-year old male patient with cutaneous metastasis from an ampullary adenocarcinoma. The patient had a history of pylorus preserving pancreaticoduodenectomy for carcinoma of the ampulla of Vater two years prior to presentation. Physical examination revealed ill-defined, painful and hard erythematous nodules at the left thumb and distal phalanx of the right middle finger. The computed tomography scan showed low density masses in the retroperitoneum; the histological examination of a nodule from the right middle finger showed a metastatic adenocarcinoma. This case illustrates that cutaneous metastasis from ampullary carcinoma has a poor prognosis.
