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Case Reports
. 2020 Jul 23;8(5):518-520.
doi: 10.14744/nci.2020.23500. eCollection 2021.

Facial cutaneous metastasis of rectal adenocarcinoma

Nilay Sengul Samanci  1 , Selma Akdogan  2 , Emir Celik  1 , Ozce Kutlu  3 , Ovgu Aydin Ulgen  3 , Fuat Hulusi Demirelli  1
Affiliations
Case Reports

Facial cutaneous metastasis of rectal adenocarcinoma

Nilay Sengul Samanci et al. North Clin Istanb. .

Abstract

Skin metastasis caused by carcinomas is associated with poor prognosis and is a rare and late clinical finding. Skin metastases occur in only 4-6.5% of Stage IV colorectal cancer. We present an unusual case of Stage IV unresectable rectal adenocarcinoma metastasized to the head and face. One and a half years after diagnosis, new skin lesions developed on his face. Biopsy showed mucinous adenocarcinoma consistent with rectal malignancy. Moreover, he died 3 months after the diagnosis of cutaneous metastasis. This case emphasizes the importance of the effect of skin lesions on prognosis in patients with a history of malignancy.

Keywords: Neoplasm metastasis; rectal neoplasms; scalp; skin.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

FIGURE 1
FIGURE 1
Subcutaneous lump was seen on his scalp and mandibular.
FIGURE 2
FIGURE 2
Brain computed tomography revealed a 13×7.5 cm mass which destructed calvarial bone in the left parietal region.
FIGURE 3
FIGURE 3
(A) Adenocarcinoma in cribriform pattern H&E×100. (B) GCDFP-15 immune negativity in tumor cells×100. (C) CDX-2 immune positivity in tumor cells×40. (D) CK-20 immune positivity in tumor cells×40.
See this image and copyright information in PMC

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