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Publicação
Cutaneous metastatic lesion as a presentation of rectal cancer: A case report
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Orientador(es)
Resumo(s)
Introduction: Colorectal cancer is ranked third among the most commonly diagnosed malignancies and second
among the leading causes of cancer death in the world. However, only a few case reports are found in the
literature regarding skin metastases originating from rectal cancer, which usually shows widespread disease
and poor prognosis. Case Report: A 68-year-old female patient presented with anterior chest wall pain and swelling and a history of progressive growing of the lesion for the last five months. Physical examination revealed a palpable 3 cm mass in the intermammillary area with mild inflammation of the surrounding skin. The lesion biopsy revealed moderately differentiated intestinal-type adenocarcinoma, suggesting
metastasis of a colorectal primary cancer. Colonoscopy revealed an obstructive neoplasm of the rectum located 12 cm from the anal verge. Histology revealed a moderately differentiated adenocarcinoma as seen before in the skin lesion. The computed tomography (CT) scan also detected several secondary lesions on the liver. Conclusion: Approximately 0.8% of the patients presente with a skin lesion as the first indication of a silent internal malignancy, which is rare and carries a poor prognosis. Cutaneous metastases are considered as an advanced presentation of colorectal cancer, mostly managed with palliative care.
Descrição
Palavras-chave
Colorectal cancer Cutaneous metastases Skin lesion Madeira Island Portugal Região Autónoma da Madeira
Contexto Educativo
Citação
Muller C, Rodrigues C, Gouveia M, Encarnação V,Sousa MO, Reis M. Cutaneous metastatic lesion as a presentation of rectal cancer: A case report. Int 2021;10:100097Z06CM2021.
Editora
Edorium Journals