Cutaneous Metastases from Carcinoma of Gall Bladder

K Malla,Rupesh Mukhia,S Shrestha,V K Sharma

doi:10.31729/jnma.345

Abstract

Cutaneous metastases from internal carcinoma are relatively rare. Metastasis to extremities is still rarer. We report a case of cutaneous metastasis from carcinoma of gall bladder in a 40-year female presenting as a mass in the left lower thigh. The mass was there for four months duration which was progressively growing in size and painful. Mass was 5 x 7 cm2 in size, mobile, hard and tender. The skin overlying the swelling was eroded with ulcer formation showing sloping edge and slough in the floor. Fine needle aspiration cytology and excisional biopsy revealed a metastatic adenocarcinoma. Cutaneous metastases have been regarded as a bad prognostic indicator.

Highlights

Skin metastasis from carcinoma of the gall bladder is extremely rare and its incidence varies from 0.7 to 9%.1. It is usually detected around surgical scars but it is rare to have distant metastasis to extremities
The most common tumors to metastasize to the skin are breast, lung, colorectal, renal and ovarian carcinomas.[3]
Breast carcinoma in female is the most frequent primary tumour to metastasize to the skin consisting 24% of all cutaneous metastasis.[3]

Summary

INTRODUCTION

Skin metastasis from carcinoma of the gall bladder is extremely rare and its incidence varies from 0.7 to 9%.1 It is usually detected around surgical scars but it is rare to have distant metastasis to extremities. Skin metastasis from carcinoma of the gall bladder is extremely rare and its incidence varies from 0.7 to 9%.1. It is usually detected around surgical scars but it is rare to have distant metastasis to extremities. It occurs late in the course of disease. A 40-year female presented with a mass in lower back of the left thigh for four months which was progressive and painful. Mass was 5x7 cm[2] in size, mobile, hard and tender. She was diagnosed to have inoperable stage four poorly differentiated adenocarcinoma of gall bladder. She had undergone palliative gastrojejunostomy and was being treated with radiotherapy

Mukhia et al Cutaneous Metastases from Carcinoma of Gall Bladder

Findings

DISCUSSION