Cutaneous and subcutaneous metastases of adenocarcinoma of the colon and rectum.
- Author:
Kok-Yang TAN
1
;
Kok-Sun HO
;
Jiunn-Herng LAI
;
Jit-Fong LIM
;
Boon-Swee OOI
;
Choong-Leong TANG
;
Kong-Weng EU
Author Information
- Publication Type:Case Reports
- MeSH: Adenocarcinoma; pathology; secondary; Adenocarcinoma, Mucinous; pathology; secondary; Aged; Female; Humans; Male; Middle Aged; Neoplasms, Connective Tissue; pathology; secondary; Rectal Neoplasms; pathology; Skin Neoplasms; pathology; secondary; Subcutaneous Tissue
- From:Annals of the Academy of Medicine, Singapore 2006;35(8):585-587
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTIONThe interesting topic of cutaneous and subcutaneous metastasis from rectal carcinoma is discussed using 3 cases.
CLINICAL PICTUREThe first case was a 70-year-old man with T3N2M0 rectal mucinous adenocarcinoma, who developed an inflammatory subcutaneous metastasis at the left scapula 2 years after anterior resection. The second case was a 51-year-old man with T4N2M0 splenic flexure mucinous adenocarcinoma, who developed metastatic disease including a subcutaneous secondary to the back. The third case was a 53-year-old woman who developed vulval recurrence 10 months after abdomino-perineal resection for a low T3N1M0 rectal adenocarcinoma.
TREATMENTAll underwent wide resection.
CONCLUSIONThis entity is rare and usually signifies disseminated disease if found remote from the resection site and warrants a thorough metastatic work up. A high index of suspicion is recommended when encountered with unresolving skin lesions in cancer patients.
