Abstract
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 present 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.
Highlights
Colorectal cancer is ranked third among the most commonly diagnosed malignancies and second among the leading causes of cancer death in the world
Cutaneous metastases are considered as an advanced presentation of colorectal cancer, mostly managed with palliative care
The authors present a clinical case of a skin lesion as a presentation of rectal cancer
Summary
0.8% of the patients present 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. Affiliations: 1Hospital Dr Nélio Mendonça – Resident, General Surgery Department, Funchal, Madeira, Portugal; 2Hospital Dr Nélio Mendonça – Consultant, General Surgery Department, Funchal, Madeira, Portugal. Muller C, Rodrigues C, Gouveia M, Encarnação V, Sousa MO, Reis M. Cutaneous metastatic lesion as a presentation of rectal cancer: A case report.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.