An 86-year-old man with a smoking history presented with diarrhea lasting for 5 weeks
followed by high-grade fever and anorexia. Physical examination revealed red, well-circumscribed,
and painless nodules approximately 2 cm in diameter from his right flank to his right
upper back (Figs. 1 and 2). Computed tomography showed masses in the rectum and liver. Colonoscopy showed the
entire circumference of a type II tumor at 5 cm from the anal verge. Histological
examination showed poorly differentiated adenocarcinoma (Fig. 3), which coincided with the biopsy of multiple cutaneous nodules, thereby establishing
a diagnosis of cutaneous metastasis of rectal adenocarcinoma.
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References
- Cutaneous metastasis: a clinical, pathological, and immunohistochemical appraisal.J. Cutan. Pathol. 2004; 31: 419-430
- A cutaneous metastasis of unresectable rectal adenocarcinoma: a case report and literature review international.J Surg Case Rep. 2020; 71: 95-101
- Cutaneous metastases secondary to colorectal carcinoma may not be as ominous as previously thought: a case report and review of the literature.BMJ Case Rep. 2013; : 2013
Article info
Publication history
Published online: January 30, 2022
Accepted:
January 25,
2022
Received:
May 27,
2021
Identification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
