Skin metastasis is a complication rarely seen after curative resection for colorectal cancer and chemotherapy. The article describes a metachronous case of skin metastasis after curative resection. This article is presented to illustrate that genetic and molecular profiling of carcinoma is a must for diagnosis of aggressive biological behavior and that skin metastasis is usually a harbinger of adverse outcome.
Introduction Krukenberg tumour (KT) refers to secondary malignant deposits in the ovary usually arising from gastrointestinal tract cancers. They are rare but pose a serious challenge in the management since the role of surgical debulking and chemotherapy and their effect on survival are controversial and still evolving. The aim of this study is to analyse the incidence, demographic profile, clinical features, management and survival of patients with KTs from gastrointestinal tract malignancy at our Institute. Methods This is a retrospective analysis of a prospectively maintained database at the Institute of surgical gastroenterology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, India between Jan 2015 to Dec 2017. Data of all patients with a diagnosis of KT from gastrointestinal tract malignancy were extracted. The
Choledochal cysts (CDC), are rare congenital dilations involving the extra hepatic biliary apparatus with or without dilation of the intrahepatic bile ducts. They are conventionally classified into five types. A new type, type VI, causing dilation of the cystic duct between the neck of the gall bladder and the common hepatic duct (CHD) has been described in medical literature which is the rarest of all these subtypes. They are commonly observed in middle aged females and are mostly symptomatic. Most of these cysts need magnetic resonance cholangiopancreatography (MRCP) for accurate diagnosis. Treatment options for these lesions are not well defined but range from simple cholecystectomy to complete excision of the entire bile duct and biliary reconstruction, as there is a concern of malignant transformation in these cysts. Hence, these rare cysts, though rare, must be borne in mind when dealing with suspicious cystic lesions in the biliary tract. Here, we present an interesting case of such a rare cyst and its management in a middle aged woman.
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