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Adenocarcinoma of the Rectum with Cutaneous Metastases

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Author(s): Gamal Abdul Hamid | Nohad Hanbala

Journal: Middle East Journal of Cancer
ISSN 2008-6709

Volume: 3;
Issue: 1;
Start page: 23;
Date: 2012;
Original page

Keywords: Rectal carcinoma | Adenocarcinoma | Cutaneous | Skin | Metastases

ABSTRACT
Cutaneous metastases of rectal carcinoma is a rare event. It occurs in fewer than 4% of all patients with rectal cancer. When present, it typically signifies a disseminated disease with a poor prognosis. Early detection and proper diagnosis of metastatic rectal cancer can significantly alter treatment and prognosis. We report a 70-year-oldmale who underwent rectal resection with permanent colostomy for rectal adenocarcinoma since seven years. The patient recently developed multiple skin nodules, mainly in his face, scalp, and upper trunk, associated with itching. Fine needle aspiration cytology from a face nodule was done which revealed metastatic adenocarcinoma associated with severe inflammation. Cutaneous metastasis of rectaladenocarcinoma is an unusual event that presents mainly in the form of skin nodules and could be the first sign of metastasis. Early diagnosis of cutaneous metastasis in these patients is important because it can alter treatment and prognosis.
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