Cutaneous Metastasis in the Setting of Both Colon and Breast Primary Malignancies
Joint Authors
Junak, Mary
Jecius, Hunter
Erdrich, Jennifer
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Colorectal cancer (CRC) is the third most diagnosed cancer in the United States, and many patients unfortunately have metastases at the time of their diagnosis.
Cutaneous metastases of CRC have been reported in few journals and primarily as case reports due to their rarity.
Here, we present the case of an 83-year-old woman with recently resected colon cancer, T4aN1bMx stage IIIB.
She presented to our clinic for evaluation of a right midback mass, and a punch biopsy revealed dermal involvement by invasive, poorly differentiated carcinoma with epidermoid features.
The mass was excised, and we ordered a PET scan in search of the primary tumor, which at that time was suspected to be of skin cancer origin.
Surprisingly, this revealed a second malignancy triple-negative invasive ductal carcinoma of the left breast.
The back mass stained positive for CK20, which was compatible with a metastasis from a colonic primary.
After initially declining adjuvant therapy, the patient completed one cycle of capecitabine and oxaliplatin, which she tolerated poorly.
She continued to further decline, developed widespread cutaneous metastases, and went home on hospice.
Cutaneous lesions are an exceedingly rare site of metastasis for colon adenocarcinoma, and their clinical presentation can vary widely.
It is important for providers to investigate any new skin lesion in a patient with a recent or remote history of malignancy, even if there were no sites of distant metastasis at initial diagnosis.
American Psychological Association (APA)
Junak, Mary& Jecius, Hunter& Erdrich, Jennifer. 2020. Cutaneous Metastasis in the Setting of Both Colon and Breast Primary Malignancies. Case Reports in Gastrointestinal Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147511
Modern Language Association (MLA)
Junak, Mary…[et al.]. Cutaneous Metastasis in the Setting of Both Colon and Breast Primary Malignancies. Case Reports in Gastrointestinal Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1147511
American Medical Association (AMA)
Junak, Mary& Jecius, Hunter& Erdrich, Jennifer. Cutaneous Metastasis in the Setting of Both Colon and Breast Primary Malignancies. Case Reports in Gastrointestinal Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147511
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147511