Single cutaneous metastasis of colon adenocarcinoma - Case report

Góes, Heliana Freitas de Oliveira; Lima, Caren dos Santos; Souza, Mariana Boechat de; Estrella, Rogério Ribeiro; Faria, Mônica Ali Novaes; Rochael, Mayra Carrijo

doi:10.1590/abd1806-4841.20164122

Cited by 7 publications

(14 citation statements)

References 8 publications

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“…Women were more represented with the 53.7% (66/123) of cases, compared to the 46.3% (57/123) of men . Median age of AN at onset was 59 (IQR: 47–68).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the primary site of malignancy, gastrointestinal (GI) tract accounted for 24.4% (30/123), breast for 17.9% (22/123) of cases, kidney for 8.1% (10/123), lung for 7.3% (9/123), thyroid for 7.3% (9/123), uterus for 6.5% (8/123), central nervous system (CNS) for 6.5% (8/123), liver for 3.3% (4/123) and other anatomic areas for 18.7% (23/123) of cases …”

Section: Resultsmentioning

confidence: 99%

“…Concerning histologic subtype of the primary tumour, carcinoma was the most reported with 53.7% (66/123) cases; of these, 38.2% (47/123) were adenocarcinomas, 7.3% (9/123) were squamous cell carcinomas and 0.8% (1/123) was a small cell carcinoma; while, in 7.3% (9/123) of cases, the type of carcinoma was not further specified . Regarding the remaining cases, 3.3% (4/123) primary tumours were leyomyosarcomas, 1.6% (2/123) were meningiomas, 40.7% (50/123) were other tumour subtypes and in one case of breast cancer, the histologic subtype was unknown (Table ) …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Alopecia neoplastica as a sign of visceral malignancies: a systematic review

Paolino

Pampena

Grassi

et al. 2019

Acad Dermatol Venereol

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Alopecia neoplastica (AN) from visceral tumours is a rare form of cutaneous metastasis in which internal malignancies spread to the scalp. The diagnosis of AN may be very challenging, especially when its onset precedes the diagnosis of the primary tumour. We aimed to improve the knowledge on AN, highlighting that in case of scarring localized alopecia, a differential diagnosis with metastasis should always be considered. We performed a systematic review to describe the main demographic and clinical features associated with AN from visceral malignancies; a survival analysis was also performed. In 118 reports, accounting for 123 patients, we found that women were more affected by AN than men (53.7% vs. 46.3%). The most frequent site of the primary tumour was the gastrointestinal tract (24.4%), followed by breast (17.9%), kidney (8.1%), lung (7.3%), thyroid (7.3%), uterus (6.5%), central nervous system (6.5%), liver (3.3%) and other anatomic areas for 18.7% of cases. Furthermore, in more than half of the cases (66.1%), AN lesions were single and were mainly diagnosed after the primary visceral tumour (71.5%). Finally, survival analysis highlighted a lower progression‐free survival in men; while, no significant differences in overall survival were reported among genders. In conclusion, metastatic skin disease should always be taken into consideration when dealing with patients with localized scarring alopecia.

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“…Women were more represented with the 53.7% (66/123) of cases, compared to the 46.3% (57/123) of men . Median age of AN at onset was 59 (IQR: 47–68).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Alopecia neoplastica as a sign of visceral malignancies: a systematic review

Paolino

Pampena

Grassi

et al. 2019

Acad Dermatol Venereol

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“… 2 The skin is rarely affected in locations such as the pelvis, torso, thorax, upper extremities, head, neck and upper lip. 6 - 8 Although they resemble the primary tumors, the metastases are more anaplastic and, when located in the integument, tend to spread deeply, involving the dermis and the subcutaneous cellular tissue, without continuity with the overlying epidermis. 2 , 3 …”

Section: Discussionmentioning

confidence: 99%

Cutaneous metastasis of colorectal cancer

Bittencourt

Imbiriba

Oliveira

et al. 2018

An. Bras. Dermatol.

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Cutaneous metastases from internal malignant neoplasms are a rare event and a late clinical finding that is associated with disseminated disease and a poor prognosis. Skin metastases from colon tumors occur in only 4% of cases of metastatic colorectal cancer. They are most often located on the abdominal skin. We report a case of 54-year-old male patient with a cutaneous metastatic focus on the lower abdomen as the initial presenting symptom of an underlying colon cancer.

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“…A previous metaanalysis shown an incidence of 24% cutaneous metastasis in breast cancer. 3 Lung, colorectal, renal, ovarian and bladder cancer have similar rates of cutaneous metastases, which vary from 3.4% to 4%, mainly through blood and lymphatic dissemination. 3 But the metastasis to the scalp is extremely rare in case of carcinoma rectum.…”

Section: Introductionmentioning

confidence: 99%

A rare case of carcinoma rectum with scalp metastasis: an unusual presentation

Abraham¹,

Krishnaprasad²,

Gopinath³

et al. 2018

Int Surg J

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Colorectal cancer is the third most commonly diagnosed cancer and third leading cause of cancer death in both men and women in the world. Metastasis is common in case of carcinoma rectum due to the late arrival of the patient to the doctor. The common sites for metastasis are liver, lung or ovary. But metastasis to the scalp is very rare. A 65-year-old female patient who presented to the casualty with sub-acute intestinal obstruction of four days duration was managed conservatively. Incidentally the patient noticed a swelling over the scalp which was initially of size 1 × 1 cm which progressed to the size of 3 × 3 cm over a period of 2 weeks. FNAC from the swelling showed features of skin adnexal tumor. Excision of the swelling was done, and histopathological examination revealed features of metastatic adenocarcinoma. Colorectal carcinoma can be controlled or treated with frequent screening of any individual who has crossed 50 years with occult stool for blood or by colonoscopy. In this way metastasis can be controlled if we treat at the early stages.

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Single cutaneous metastasis of colon adenocarcinoma - Case report

Cited by 7 publications

References 8 publications

Alopecia neoplastica as a sign of visceral malignancies: a systematic review

Alopecia neoplastica as a sign of visceral malignancies: a systematic review

Cutaneous metastasis of colorectal cancer

A rare case of carcinoma rectum with scalp metastasis: an unusual presentation

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