101
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A clinicopathological and immunohistochemical correlation in cutaneous metastases from internal malignancies: a five-year study. J Skin Cancer 2014; 2014:793937. [PMID: 25215239 PMCID: PMC4158475 DOI: 10.1155/2014/793937] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2014] [Revised: 07/30/2014] [Accepted: 08/14/2014] [Indexed: 11/29/2022] Open
Abstract
Cutaneous metastases from internal malignancies are uncommon and occur in 0.6%–10.4% of all patients with cancer. In most cases, cutaneous metastases develop after the initial diagnosis of the primary internal malignancy and late in the course of the disease. Skin tumors are infrequent in Asian population and cutaneous metastases are quite rare. Cutaneous metastases carry a poor prognosis with average survival of few months. In the present five-year study 1924 malignant tumors were screened which included only nine cases of cutaneous metastatic deposits. A wide range of site and clinical presentations including nodules, plaques, and ulcers was noted. Histopathological findings were significant and corresponded with the primary internal malignancy. Cutaneous metastases from breast carcinoma (44.4%) were the most common finding followed by non-Hodgkin lymphoma and renal cell carcinoma (22.2% each) and carcinoma cervix (11.1%). The aim of our study is to classify the cutaneous metastases and to evaluate their clinicopathologic and immunohistochemical correlation with the primary tumor.
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102
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Kulasinghe A, Perry C, Jovanovic L, Nelson C, Punyadeera C. Circulating tumour cells in metastatic head and neck cancers. Int J Cancer 2014; 136:2515-23. [DOI: 10.1002/ijc.29108] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2014] [Accepted: 07/16/2014] [Indexed: 12/15/2022]
Affiliation(s)
- Arutha Kulasinghe
- The University of Queensland Diamantina Institute; The University of Queensland; Translational Research Institute; Brisbane QLD
| | - Chris Perry
- Department of Otolaryngology; Princess Alexandra Hospital; Woolloongabba QLD Australia
| | - Lidija Jovanovic
- Institute of Health and Biomedical Innovation; Queensland University of Technology; Brisbane QLD
| | - Colleen Nelson
- Institute of Health and Biomedical Innovation; Queensland University of Technology; Brisbane QLD
| | - Chamindie Punyadeera
- The University of Queensland Diamantina Institute; The University of Queensland; Translational Research Institute; Brisbane QLD
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103
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Nguyen D, Siraj S, Ngu C, Bennett G, Pranavan G. An unusual case of oesophageal adenocarcinoma presenting with subcutaneous metastases. J Gastrointest Cancer 2014; 45 Suppl 1:175-7. [PMID: 24781303 DOI: 10.1007/s12029-014-9614-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Duy Nguyen
- The Canberra Hospital, Canberra, ACT, Australia
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104
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Baltz RG, Kaley JR, Hull CA, Gardner JM. Cutaneous scalp metastases from retroperitoneal leiomyosarcoma: a case report. J Cutan Pathol 2014; 41:680-5. [DOI: 10.1111/cup.12329] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2013] [Revised: 02/17/2014] [Accepted: 03/03/2014] [Indexed: 12/21/2022]
Affiliation(s)
- Rebekah G. Baltz
- College of Medicine; University of Arkansas for Medical Sciences; Little Rock AR USA
| | - Jennifer R. Kaley
- Department of Pathology; University of Arkansas for Medical Sciences; Little Rock AR USA
| | | | - Jerad M. Gardner
- Department of Pathology; University of Arkansas for Medical Sciences; Little Rock AR USA
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105
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Borroni RG, Derlino F, Agozzino M, Concardi M, Arbustini E, Brazzelli V. Hypothermic cutaneous collagenous vasculopathy with centrifugal spreading. J Eur Acad Dermatol Venereol 2014; 29:1444-6. [PMID: 24684344 DOI: 10.1111/jdv.12498] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2014] [Revised: 02/18/2014] [Accepted: 03/03/2014] [Indexed: 11/29/2022]
Affiliation(s)
- R G Borroni
- Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - F Derlino
- Clinica Dermatologica, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - M Agozzino
- Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - M Concardi
- Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - E Arbustini
- Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - V Brazzelli
- Clinica Dermatologica, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
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106
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Roy AD, Sherparpa M, Prasad PRK, Lamichanet R. Scalp metastasis of gastro-esophageal junction adenocarcinoma: a rare occurrence. J Clin Diagn Res 2014; 8:159-60. [PMID: 24701517 DOI: 10.7860/jcdr/2014/7344.4042] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2013] [Accepted: 12/19/2013] [Indexed: 01/29/2023]
Abstract
Cutaneous metastasis is one of the many skin changes which are associated with internal malignancies. Breast, lung, and colon are the most common sources of internal primary malignancies. Gastro-esophageal junction adenocarcinoma is a rare cause of cutaneous metastasis to the scalp. Gastric adenocarcinoma usually metastasizes to the liver, peritoneal cavity and regional lymph nodes more often than to skin. We are presenting a case of cutaneous metastasis on the scalp of a 79-year-old man, who was diagnosed and operated for gastro-oesophageal junction adenocarcinoma one year back.
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Affiliation(s)
- Asitava Deb Roy
- Assistant Professor,Department of Pathology, Sikkim Manipal Institute of Medical Sciences , Gangtok, India
| | - Mingma Sherparpa
- Senior Consultant, Department of Neurosurgery, Sikkim Manipal Institute of Medical Sciences , Gangtok, India
| | - P R K Prasad
- Assistant Professor,Department of Pathology, Sikkim Manipal Institute of Medical Sciences , Gangtok, India
| | - Rachna Lamichanet
- Assistant Professor,Department of Pathology, Sikkim Manipal Institute of Medical Sciences , Gangtok, India
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107
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Louati D, Trigui K, Abid D, Kammoun S, Dermech M, Chaabane K, Amouri H. Bilateral atrophic squirrhus of breast in neglected breast cancer: case report. Pan Afr Med J 2014; 19:316. [PMID: 25883743 PMCID: PMC4393995 DOI: 10.11604/pamj.2014.19.316.2821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2013] [Accepted: 11/25/2014] [Indexed: 11/11/2022] Open
Abstract
The atrophic squirrhus carcinoma is an advanced form of breast cancer, which is most often neglected by patients. These days it has become very rare. The bilaterality of this form is even more exceptional. We present a case of atrophic squirrhus breast cancer of a 58 years old woman, rural origin, which is particular for its bilaterality and rapid evolution causing the death after 22 months from the first abnormal functional sign.
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Affiliation(s)
- Doulira Louati
- Obstetrics and Gynecology Department, Hédi Chaker Academic Hospital, Sfax, Tunisia
| | - Khaled Trigui
- Obstetrics and Gynecology Department, Hédi Chaker Academic Hospital, Sfax, Tunisia
| | - Donia Abid
- Obstetrics and Gynecology Department, Hédi Chaker Academic Hospital, Sfax, Tunisia
| | - Salma Kammoun
- Obstetrics and Gynecology Department, Hédi Chaker Academic Hospital, Sfax, Tunisia
| | - Manel Dermech
- Obstetrics and Gynecology Department, Hédi Chaker Academic Hospital, Sfax, Tunisia
| | - Kais Chaabane
- Obstetrics and Gynecology Department, Hédi Chaker Academic Hospital, Sfax, Tunisia
| | - Habib Amouri
- Obstetrics and Gynecology Department, Hédi Chaker Academic Hospital, Sfax, Tunisia
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108
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Fernández-Antón Martínez M, Parra-Blanco V, Avilés Izquierdo J, Suárez Fernández R. Cutaneous Metastases of Internal Tumors. ACTAS DERMO-SIFILIOGRAFICAS 2013. [DOI: 10.1016/j.adengl.2012.06.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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109
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AbAziz A, Mahaletchumy T, Chung JK. Skin Manifestation of Unsuspecting Prostate Cancer Detected by 18F-FDG PET/CT Performed To Assess Underlying Multiple Myeloma. Nucl Med Mol Imaging 2013; 47:285-8. [PMID: 24900127 PMCID: PMC4035166 DOI: 10.1007/s13139-013-0233-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2013] [Revised: 08/13/2013] [Accepted: 08/16/2013] [Indexed: 10/26/2022] Open
Abstract
BACKGROUND Skin metastases from either prostate adenocarcinoma or multiple myeloma rarely occur. We report the case of a 73-year-old man with multiple myeloma who presented with multiple subcutaneous nodules 3 years after his initial diagnosis. METHODS Fluorine-18 fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) imaging was suggestive of a concomitant second primary from the prostate. RESULTS This case highlights not only a rare initial manifestation of prostate cancer, but also the role of 18F-FDG-PET/CT in detecting a clinically unsuspected second malignancy. CONCLUSION It potentially corroborates the possible association of both diseases, as has been reported before.
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Affiliation(s)
- Aini AbAziz
- />Department of Molecular Imaging and Nuclear Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Cheras, 56000 Kuala Lumpur, Malaysia
| | - Thanuja Mahaletchumy
- />Department of Molecular Imaging and Nuclear Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Cheras, 56000 Kuala Lumpur, Malaysia
| | - June-Key Chung
- />Department of Molecular Imaging and Nuclear Medicine, Seoul National University School of Medicine, Seoul, Korea
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110
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Campana LG, Testori A, Mozzillo N, Rossi CR. Treatment of metastatic melanoma with electrochemotherapy. J Surg Oncol 2013; 109:301-7. [DOI: 10.1002/jso.23512] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
| | | | - Nicola Mozzillo
- Istituto Nazionale per lo Studio e la cura dei Tumori “Fondazione G. Pascale” (IRCCS); Naples Italy
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111
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van den Hurk C, van de Poll-Franse L, Breed W, Coebergh J, Nortier J. Scalp cooling to prevent alopecia after chemotherapy can be considered safe in patients with breast cancer. Breast 2013; 22:1001-4. [DOI: 10.1016/j.breast.2013.07.039] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2013] [Revised: 06/01/2013] [Accepted: 07/16/2013] [Indexed: 12/11/2022] Open
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112
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Pistone G, Pistone A, Aricò M, Bongiorno MR. Multiple cutaneous metastases in the chest from prostatic carcinoma. Case Rep Dermatol 2013; 5:27-30. [PMID: 23898267 PMCID: PMC3719122 DOI: 10.1159/000346801] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
We report a case of multiple cutaneous metastases from prostate cancer. A 78-year-old man with an 8-year history of prostate cancer had multiple nodular lesions in the chest. Histologically, the lesion showed an abortive glandular lumina and tall columnar cells with abundant cytoplasm. Immunohistochemical staining for AE1:AE3 cytokeratin cocktail, prostate-specific antigen, and prostate-specific acid phosphatase was positive in tumor cells, confirming the diagnosis of cutaneous metastases from prostate cancer. We report this case because of the rarity of cutaneous metastases from prostatic adenocarcinoma in the chest region.
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Affiliation(s)
- G Pistone
- Department of Dermatology, University of Palermo, Palermo, Italy
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113
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Bang CH, Bae JM, Kim HS, Kim GM, Yu DS, Park HJ, Oh ST, Kang H, Park CJ, Lee JD, Lee JY, Kim HO, Park YM. Recent trends (1991-2010) of metastatic skin cancers in Korea. J Korean Med Sci 2013; 28:1083-8. [PMID: 23853494 PMCID: PMC3708082 DOI: 10.3346/jkms.2013.28.7.1083] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2012] [Accepted: 05/14/2013] [Indexed: 11/20/2022] Open
Abstract
The incidence of overall cancer has increased over time. The incidence of top-ranking cancers has changed in the 1990s and the 2000s. However, few studies have evaluated the trends in metastatic skin cancers during this period. We evaluated the recent trends in incidence, peak age and location of metastatic skin cancers from 1991 to 2010. This 20-yr survey was divided into two decades to determine the trends by comparing the statistics. Out of 694,466 outpatients (1991-2010), 174 (0.025%) were diagnosed with metastatic skin cancer. The incidence of metastatic skin cancer increased significantly from 20.64 per 100,000 outpatients in the 1990s to 28.70 per 100,000 outpatients in the 2000s (P = 0.030). The peak age of skin metastasis shifted from the 40s to the 50s in women, and from the 50s to the 60s in men. The percentage of metastatic skin cancers originating from intra-abdominal organs increased from 10% in the 1990s to 23.1% in the 2000s (P = 0.027). The percentage of metastatic skin cancers located on the abdomen increased from 7.1% in the 1990s to 15.4% in the 2000s (P = 0.011). The higher proportion of metastatic skin cancers located on the abdomen may be related to the increase in skin metastases from intra-abdominal organs.
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Affiliation(s)
- Chul Hwan Bang
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jung Min Bae
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hei Sung Kim
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Gyeong Mun Kim
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Dong Soo Yu
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hyun Jeong Park
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Shin Tack Oh
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hoon Kang
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Chul Jong Park
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jeong Deuk Lee
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jun Young Lee
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hyung Ok Kim
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Young Min Park
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
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114
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Fluehler C, Quaranta L, di Meo N, Ulessi B, Trevisan G. Cutaneous metastasis of neuroendocrine carcinoma. Indian J Dermatol 2013; 58:247. [PMID: 23723522 PMCID: PMC3667334 DOI: 10.4103/0019-5154.110890] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Affiliation(s)
- Catharina Fluehler
- Department of Dermatology, Ospedale Maggiore di Trieste, University of Trieste, Piazza Ospedale 1, Trieste, Italy. E-mail:
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115
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Lee JH, Jung KE, Kim HS, Lee JY, Kim HO, Park YM. Cutaneous metastasis of papillary thyroid carcinoma to the thyroidectomy scar. Int J Dermatol 2013; 53:e223-4. [PMID: 23676148 DOI: 10.1111/ijd.12011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Ji Hae Lee
- Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, South Korea
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116
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Kishan KH, Rao G. A rare case of zosteriform cutaneous metastases from squamous cell carcinoma of hard palate. Ann Med Health Sci Res 2013; 3:127-30. [PMID: 23634349 PMCID: PMC3634212 DOI: 10.4103/2141-9248.109487] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
A 70-year-old woman presented with painful nodules on the left side of the neck of 1 month duration. Upon questioning, the patient gave history of reverse smoking since 50 years. On examination, the patient had a superficial ulcer over the hard palate. A provisional diagnosis of zosteriform cutaneous metastases was made. Fine needle aspiration cytology of the nodule performed showed metastatic squamous cell carcinoma deposits. Later, biopsy was performed from the neck lesion and oral lesion, and it confirmed the diagnosis. Histopathology of the oral biopsy was suggestive of infiltrating squamous cell carcinoma. Biopsy of neck lesion was suggestive of squamous cell carcinoma secondaries. Majority of these cases can be misdiagnosed as herpes zoster and were treated with antiviral drugs. Distant metastases from oral squamous cell carcinoma are unusual, but generally occur in lungs, bone, and liver. Cutaneous metastasis is extremely rare, and it often reflects an advanced stage with sinister prognosis. Therefore, metastatic diseases should be considered in the differential diagnosis of zosteriform rash in the elderly.
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Affiliation(s)
- Ky Hari Kishan
- Department of Dermatology, MVJ Medical College and Research Hospital, Hoskote, Bangalore, India
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117
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Hafiji J, Rytina E, Jani P, Burrows NP. A rare cutaneous presentation of metastatic parotid adenocarcinoma. Australas J Dermatol 2013; 54:e40-2. [PMID: 23582003 DOI: 10.1111/j.1440-0960.2011.00865.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Primary adenocarcinomas of the parotid gland are rare, accounting for < 5% of all head and neck malignant neoplasms. The biological behaviour of these tumours varies considerably. Low-grade tumours are minimally invasive, whereas high-grade tumours show a high incidence of local recurrence and distant metastases. We report a case of metastatic parotid adenocarcinoma which presented with cutaneous features. This case illustrates that such salivary gland malignancies can very rarely present to the dermatologist. These potentially aggressive tumours require prompt diagnosis and management with multidisciplinary team input to ensure that the appropriate treatment is instigated.
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Affiliation(s)
- Juber Hafiji
- Skin Cancer Institute, Dermatological Surgical Unit, Tauranga, New Zealand.
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118
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Kawai S, Nishida T, Hayashi Y, Ezaki H, Yamada T, Shinzaki S, Miyazaki M, Nakai K, Yakushijin T, Watabe K, Iijima H, Tsujii M, Nishida K, Takehara T. Choroidal and cutaneous metastasis from gastric adenocarcinoma. World J Gastroenterol 2013; 19:1485-1488. [PMID: 23538460 PMCID: PMC3602510 DOI: 10.3748/wjg.v19.i9.1485] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2012] [Revised: 09/13/2012] [Accepted: 10/30/2012] [Indexed: 02/06/2023] Open
Abstract
Choroidal or cutaneous metastasis of gastric cancer is rare. Gastrointestinal cancer was found in only 4% in patients with uveal metastasis. Choroidal metastasis from gastric cancer was reported in two cases in earlier literature. The frequency of gastric cancer as a primary lesion was 6% in cutaneous metastasis of men, and cutaneous metastasis occurs in 0.8% of all gastric cancers. We report a patient with gastric adenocarcinoma who presented with visual disorder in his left eye and skin pain on his head as his initial symptoms. These symptoms were diagnosed to be caused by choroidal and cutaneous metastasis of gastric adenocarcinoma. Two cycles of chemotherapy consisted of oral S-1 and intravenous cisplatin (SPIRITS regimen); this was markedly effective to reduce the primary gastric lesion and almost all the metastatic lesions.
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119
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Tas F, Ciftci R, Buyukbabani N, Karabulut S. Recurrent gastric cancer presenting with both scrotal and facial skin metastases: a case report. J Gastrointest Cancer 2013; 45:96-9. [PMID: 23430387 DOI: 10.1007/s12029-013-9484-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Faruk Tas
- Institute of Oncology, University of Istanbul, Capa, Istanbul, 34390, Turkey,
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120
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Wong CYB, Helm MA, Helm TN, Zeitouni N. Patterns of skin metastases: a review of 25 years' experience at a single cancer center. Int J Dermatol 2013; 53:56-60. [PMID: 23432658 DOI: 10.1111/j.1365-4632.2012.05635.x] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Skin metastases can be defined as the spread of a tumor from its site of primary origin to the skin. Skin metastasis may be the first sign of advanced cancer or an indicator of cancer recurrence. OBJECTIVES To review patient data of 401 skin metastases available from our institution and compare this information to previously published studies. METHODS Patient data from the Cancer Registry at RPCI database was reviewed for skin metastasis using vendor software. We included all cases of carcinoma, melanoma, sarcomas, and hematologic malignancies entered during a 25-year period from January 4, 1985, to March 1, 2010. Data identifying the relationship of tumor incidence, morphology, and skin metastasis was reviewed. A total of 401 patients who had skin metastases at the time of cancer diagnosis or had skin metastases as a recurrent site were included in this study. Extensive literature review was conducted using PubMed for articles relating to skin metastases and its clinical presentation and histological features. RESULTS Breast cancer was the most common cancer to metastasize to the skin (32.7% of all skin metastases seen) followed by bronchus and lung (13.2%), skin (melanoma; 9.5%), lymph nodes (7.5%), oral cavity/pharynx/larynx (6.2%), blood and bone marrow (5.5%), and colorectal (4.2%). The most common histological types of tumors were identified as adenocarcinoma (infiltrating ductal carcinoma [22.7%]), lobular carcinoma (4.7%), and non-adenocarcinoma (squamous cell carcinoma [12.2%] and malignant melanoma [5.2%]). CONCLUSIONS This is the largest review of skin metastases in the United States in the past 25 years. We found the primary cancers that metastasize to the skin have changed in frequency from previous studies. Our data are helpful in indicating which cancers have the strongest predilection for skin metastasis. Identification of these cancers can help both the clinician and patient detect early signs of metastases, which may allow for earlier diagnosis, implementation of therapy, and possible prolonged survival.
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Affiliation(s)
- Christina Y B Wong
- Department of Dermatology, University at Buffalo, Roswell Park Cancer Institute, Buffalo, NY, USA
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121
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Cutaneous lymphangitis carcinomatosa in a patient with lung adenocarcinoma: Case report and literature review. Lung Cancer 2013; 79:91-3. [DOI: 10.1016/j.lungcan.2012.09.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2012] [Accepted: 09/01/2012] [Indexed: 12/26/2022]
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122
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Sharma A, Schwartz RA. Stewart-Treves syndrome: Pathogenesis and management. J Am Acad Dermatol 2012; 67:1342-8. [DOI: 10.1016/j.jaad.2012.04.028] [Citation(s) in RCA: 106] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2010] [Revised: 04/12/2012] [Accepted: 04/20/2012] [Indexed: 11/28/2022]
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123
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Manohar K, Mittal BR, Bhattacharya A, Singh G. Asymptomatic Distant Subcutaneous Metastases Detected by (18)F-FDG-PET/CT in a Patient with Breast Carcinoma. World J Nucl Med 2012; 11:24-5. [PMID: 22942779 PMCID: PMC3425225 DOI: 10.4103/1450-1147.98742] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
Cutaneous metastases from internal malignancies are rare with a reported incidence between 0.7% and 10%. We report a case with distant skin and subcutaneous metastases in abdominal skin from breast cancer detected on (18)F-fluoro-deoxyglucose-positron emission tomography/computed tomography imaging.
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Affiliation(s)
- Kuruva Manohar
- Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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124
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Lee K, Jung H. Drawing lithography for microneedles: A review of fundamentals and biomedical applications. Biomaterials 2012; 33:7309-26. [DOI: 10.1016/j.biomaterials.2012.06.065] [Citation(s) in RCA: 105] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2012] [Accepted: 06/25/2012] [Indexed: 11/16/2022]
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125
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Cutaneous metastases from internal malignancies: a clinicopathologic and immunohistochemical review. Am J Dermatopathol 2012; 34:347-93. [PMID: 22617133 DOI: 10.1097/dad.0b013e31823069cf] [Citation(s) in RCA: 151] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Skin metastases occur in 0.6%-10.4% of all patients with cancer and represent 2% of all skin tumors. Skin metastases from visceral malignancies are important for dermatologists and dermatopathologists because of their variable clinical appearance and presentation, frequent delay and failure in their diagnosis, relative proportion of different internal malignancies metastasizing to the skin, and impact on morbidity, prognosis, and treatment. Another factor to take into account is that cutaneous metastasis may be the first sign of clinically silent visceral cancer. The relative frequencies of metastatic skin disease tend to correlate with the frequency of the different types of primary cancer in each sex. Thus, women with skin metastases have the following distribution in decreasing order of frequency of primary malignancies: breast, ovary, oral cavity, lung, and large intestine. In men, the distribution is as follows: lung, large intestine, oral cavity, kidney, breast, esophagus, pancreas, stomach, and liver. A wide morphologic spectrum of clinical appearances has been described in cutaneous metastases. This variable clinical morphology included nodules, papules, plaques, tumors, and ulcers. From a histopathologic point of view, there are 4 main morphologic patterns of cutaneous metastases involving the dermis, namely, nodular, infiltrative, diffuse, and intravascular. Generally, cutaneous metastases herald a poor prognosis. The average survival time of patients with skin metastases is a few months. In this article, we review the clinicopathologic and immunohistochemical characteristics of cutaneous metastases from internal malignancies, classify the most common cutaneous metastases, and identify studies that may assist in diagnosing the origin of a cutaneous metastasis.
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126
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Takes RP, Rinaldo A, Silver CE, Haigentz M, Woolgar JA, Triantafyllou A, Mondin V, Paccagnella D, de Bree R, Shaha AR, Hartl DM, Ferlito A. Distant metastases from head and neck squamous cell carcinoma. Part I. Basic aspects. Oral Oncol 2012; 48:775-9. [DOI: 10.1016/j.oraloncology.2012.03.013] [Citation(s) in RCA: 122] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2011] [Revised: 03/09/2012] [Accepted: 03/17/2012] [Indexed: 11/24/2022]
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127
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Fernández-Antón Martínez MC, Parra-Blanco V, Avilés Izquierdo JA, Suárez Fernández RM. Cutaneous metastases of internal tumors. ACTAS DERMO-SIFILIOGRAFICAS 2012; 104:841-53. [PMID: 22853962 DOI: 10.1016/j.ad.2012.06.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2011] [Revised: 05/23/2012] [Accepted: 06/02/2012] [Indexed: 01/10/2023] Open
Abstract
Cutaneous metastases are relatively rare in clinical practice and their diagnosis requires a high index of suspicion because clinical findings can be subtle. These metastases reveal the presence of disseminated malignant disease and can lead to the diagnosis of unsuspected internal tumors or the spread or recurrence of an already diagnosed tumor. Early recognition of cutaneous metastases can facilitate prompt and accurate diagnosis resulting in early treatment; however, they are generally indicative of a poor prognosis. Some tumors have a predilection to metastasize to specific areas. Recognition of these patterns provides essential information that can guide the search for the underlying tumor.
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128
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Corcoran S, Hogan AM, Nemeth T, Bennani F, Sullivan FJ, Khan W, Barry K. Isolated cutaneous metastasis of uterine leiomyosarcoma: case report and review of literature. Diagn Pathol 2012; 7:85. [PMID: 22809451 PMCID: PMC3443420 DOI: 10.1186/1746-1596-7-85] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2012] [Accepted: 07/18/2012] [Indexed: 02/06/2023] Open
Abstract
A 54 year old lady presented for routine excision of a scalp lesion thought clinically to represent a sebaceous cyst of the right occiput. 4 years earlier she underwent total abdominal hysterectomy and right salpingo-oophorectomy for 3 large uterine fibroids. Histo-pathological examination of the hysterectomy specimen revealed an incidental low-grade leiomyosarcoma. Staging imaging was negative for metastatic disease. She made an uneventful recovery and was treated further by adjuvant pelvic radiotherapy.She noticed an uncomfortable and unsightly cystic swelling on her occiput four years after hysterectomy and was referred for routine excision of what was believed to be a benign lesion. The lesion was excised and sent for histopathological examination. Microscopic analysis including immuno-histochemistry demonstrated an ER and PR positive metastatic deposit of leiomyosarcoma. The margins of excision were histologically clear of disease.At Multi-Disciplinary Team (MDT) discussion a diagnosis of metastatic scalp deposit from previous uterine leiomyosarcoma was made. Re-staging CT brain, thorax, abdomen and pelvis and MRI brain were negative for local recurrence or distant metastases. She is currently undergoing radiotherapy to the scalp and surrounding tissues and will be followed up closely by the involved teams.To the best of our knowledge, this is the first case described in the worldwide literature of isolated cutaneous metastasis to the scalp of uterine leiomyosarcoma without evidence of disseminated disease at other sites. VIRTUAL SLIDES The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1311834987345566.
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Affiliation(s)
- Shane Corcoran
- Department of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Ireland
| | - Aisling M Hogan
- Department of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Ireland
| | - Tamas Nemeth
- Department of Histopathology, Mayo General Hospital, Castlebar, Co. Mayo, Ireland
| | - Fadel Bennani
- Department of Histopathology, Mayo General Hospital, Castlebar, Co. Mayo, Ireland
| | - Francis J Sullivan
- Department of Radiation Oncology, Galway University Hospital, Galway, Ireland
| | - Waqar Khan
- Department of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Ireland
| | - Kevin Barry
- Department of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Ireland
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129
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McClure SA, Movahed R, Salama A, Ord RA. Maxillofacial metastases: a retrospective review of one institution's 15-year experience. J Oral Maxillofac Surg 2012; 71:178-88. [PMID: 22705221 DOI: 10.1016/j.joms.2012.04.009] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2011] [Revised: 03/19/2012] [Accepted: 04/05/2012] [Indexed: 01/01/2023]
Abstract
PURPOSE Metastasis to the maxillofacial region is a rare occurrence. In our retrospective study of patients with metastasis to the maxillofacial region, the subjects were evaluated to define the clinical behavior patterns in response to the treatment given. MATERIALS AND METHODS A retrospective record review during a 15-year period (1990 to 2005) was conducted. The patients were selected for inclusion in the present study if they had histologically confirmed maxillofacial metastases. RESULTS In our retrospective study, during the 15-year period, 1,221 new patients with maxillofacial/oral cancer were seen and evaluated. Of these 1,221 patients, 26 (16 men and 10 women) were identified as having a histologically confirmed metastasis to the maxillofacial region, for an incidence of 2.1%. CONCLUSIONS Patients with metastasis to the maxillofacial region are often deemed to not be surgical candidates because of the extensive nature of the metastatic disease. We believe that surgical intervention plays a beneficial role in improving quality of life in a properly selected group of patients with metastasis to the maxillofacial region. In our case series, surgery was performed in about 50% of the patients, and palliation and radiotherapy were the most commonly used modalities.
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Affiliation(s)
- Shawn A McClure
- Department of Oral and Maxillofacial Surgery, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314-7796, USA
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130
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Kumar S, Gupta A, Diwan SK, Bhake A. Sub cuteneous swelling as the first clinical manifestation of small cell carcinoma of lung. Clin Pract 2012; 2:e62. [PMID: 24765461 PMCID: PMC3981321 DOI: 10.4081/cp.2012.e62] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2011] [Revised: 04/24/2012] [Accepted: 05/29/2012] [Indexed: 11/23/2022] Open
Abstract
Subcutaneous swelling as first clinical presentation of small cell lung carcinoma is uncommon and rarely reported in literature. This case highlights a rare presentation in which subcutaneous swelling was the first clinical manifestation of a small cell carcinoma of lung which also had metastasis to rib bone, muscle and pleural involvement as pleural effusion. We describe the case of a 64-year-old male patient who presented with dyspnea, pleuritic pain, loss of weight and nodule on his anterior chest, back and left arm suspicious of lipoma. Biopsies revealed small cell carcinoma of lung. This case demonstrates the meticulous work up of subcutaneous swelling in the clinical scenario of breathlessness, chest pain and loss of weight.
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Affiliation(s)
| | | | | | - Arvind Bhake
- Department of Pathology, Jawahar Lal Nehru Medical College, DMIMS, Sawangi, Wardha, India
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131
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Sesterhenn AM, Albers MB, Timmesfeld N, Werner JA, Wiegand S. Dermal metastases in squamous cell carcinomas of the head and neck. Head Neck 2012; 35:767-71. [DOI: 10.1002/hed.23025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/01/2012] [Indexed: 11/06/2022] Open
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132
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Cutaneous metastasis as a initial presentation in advanced non-small cell lung cancer and its poor survival prognosis. J Cancer Res Clin Oncol 2012; 138:1613-7. [DOI: 10.1007/s00432-012-1239-6] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2012] [Accepted: 04/30/2012] [Indexed: 12/19/2022]
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133
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Unhealed Metastatic Cutaneous Manifestation Masquerading as Bilateral Forearm Eczema. Am Surg 2012. [DOI: 10.1177/000313481207800402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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134
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Riahi RR, Cohen PR. Clinical manifestations of cutaneous metastases: a review with special emphasis on cutaneous metastases mimicking keratoacanthoma. Am J Clin Dermatol 2012; 13:103-12. [PMID: 22229935 DOI: 10.2165/11590640-000000000-00000] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Approximately 5% of oncology patients develop cutaneous metastases, with only a small number of these patients (less than 1%) having metastatic skin lesions as the first sign of their visceral cancer. Metastases tend to occur on skin surfaces in the vicinity of the primary tumor. However, any site may be affected by cutaneous metastases. Skin metastases can present with several morphologies including, albeit rarely, keratoacanthoma-like lesions. Keratoacanthoma is a keratinous tumor that morphologically appears as a nodule with a central keratin-filled crater. This article reviews the characteristics of oncology patients whose cutaneous metastases mimicked a keratoacanthoma, including illustrations from our patient, a 53-year-old Caucasian man whose metastatic esophageal adenocarcinoma not only presented with a keratoacanthoma-like tumor on his upper lip but also a forehead macule and a scalp nodule. We also report keratoacanthoma-like presentations from literature cases of breast cancer, chondrosarcoma, and pulmonary malignancies. The lesions were discovered 3-24 months after diagnosis of visceral cancer and led to the discovery of unsuspected lung cancer in two patients. Most of the patients (60%) died within 2 months of discovery of the keratoacanthoma-like cutaneous metastases. We also reviewed the literature and discuss other morphologies of cutaneous metastases in patients whose primary tumors were in the breast, lung, and esophagus. In addition, we review from the literature other examples of tumors that present as metastatic nodules on the scalp. The possibility of cutaneous metastasis should be entertained and pathologic evaluation should be considered in an oncology patient with underlying visceral malignancy who develops a keratoacanthoma-like lesion.
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Affiliation(s)
- Ryan R Riahi
- Medical School, University of Texas Medical Branch, Galveston, TX, USA
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135
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Patel LM, Maghari A, Schwartz RA, Kapila R, Morgan AJ, Lambert WC. Myeloid leukemia cutis in the setting of myelodysplastic syndrome: a crucial dermatological diagnosis. Int J Dermatol 2012; 51:383-8. [DOI: 10.1111/j.1365-4632.2011.05297.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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136
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Balukrishna S, Jennifer P, Viswanathan PN. Solitary subcutaneous metastasis from squamous cell carcinoma of the esophagus: a case report and brief review of literature. J Gastrointest Cancer 2012; 42:269-71. [PMID: 21174174 DOI: 10.1007/s12029-010-9239-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Affiliation(s)
- Sasidharan Balukrishna
- Department of Radiation Oncology Unit 1, Christian Medical College, Ida Scudder Road, Vellore, 632 004, Tamil Nadu, India.
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137
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Yun SJ, Park HY, Lee JS, Park MH, Lee JB, Won YH. Clinicopathological correlation of cutaneous metastatic breast carcinoma using lymphatic and vascular markers: lymphatics are mainly involved in cutaneous metastasis. Clin Exp Dermatol 2012; 37:744-8. [PMID: 22329727 DOI: 10.1111/j.1365-2230.2011.04306.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Precise clinicopathological correlations of the clinical features of metastatic breast carcinoma with lymphatic-specific markers are rare. We classified 28 patients with metastatic breast carcinoma according to their clinical features. Immunohistochemical staining was performed using D2-40, CD31 and CD34. Of the 28 patients, 8 (28.6%) had inflammatory metastatic carcinoma, 6 (21.4%) had the telangiectatic type, 5 had the nodular type, 3 had the en cuirasse type, 3 had alopecia neoplastica, and 3 had a combination of features. D2-40 staining revealed dilated lymphatic channels (lymphangiectasia) in the upper dermis of all patients; in addition, 13 patients (46.4%) had intralymphatic tumour-cell emboli, which were common in those with the inflammatory and telangiectatic types. Intratumoral lymphatic invasion in the main tumour nodule was seen in 12 patients (42.9%). Our results suggest that cutaneous metastatic breast carcinomas have various clinical presentations, and that lymphatic vessels play an important role in all types of cutaneous metastasis.
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Affiliation(s)
- S J Yun
- Departments of Dermatology Pathology General surgery, Chonnam National University Medical School, Gwangju, Korea.
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138
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Park MK, Son IP, Park KY, Seo SJ. Metastatic gastric adenocarcinoma presenting as a solitary plaque on the palm. Ann Dermatol 2011; 23:S205-7. [PMID: 22148051 PMCID: PMC3229066 DOI: 10.5021/ad.2011.23.s2.s205] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2011] [Revised: 04/26/2011] [Accepted: 05/01/2011] [Indexed: 11/08/2022] Open
Abstract
Cutaneous metastases from gastric adenocarcinoma are extremely rare. When present, metastasis typically signifies disseminated disease with a poor prognosis. We report a case of an 80-year-old male with gastric cancer who presented with a single, erythematous plaque on the left palm, a very rare site for skin metastasis. Results of a skin biopsy demonstrated that the cutaneous metastasis originated from the stomach. This report emphasized the need for appropriate investigation into newly appearing, unusual, or persistent skin lesions.
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Affiliation(s)
- Mi-Kyung Park
- Department of Dermatology, College of Medicine, Chung-Ang University, Seoul, Korea
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139
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Sim JH, Kim JE, Lee SH, Cho MK, Lee JS, Lee SY. Vulvar skin metastasis of lung squamous cell carcinoma. Ann Dermatol 2011; 23:S179-81. [PMID: 22148044 PMCID: PMC3229059 DOI: 10.5021/ad.2011.23.s2.s179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2010] [Revised: 01/26/2011] [Accepted: 01/26/2011] [Indexed: 11/29/2022] Open
Abstract
In this study, we examined a case where lung cancer metastasized to the vulvar area. A 79-year-old woman that was a heavy smoker was referred to our department with a short (two-week) history of dyspnea, and with a painful nodule on her right labium majora, which she had noticed almost three years earlier. Histopathologically, the specimen appeared as a poorly differentiated squamous cell carcinoma. The chest X-ray, chest computerized tomography scan, and percutaneous transthoracic needle biopsy via bronchoscopy revealed squamous cell carcinoma in the right upper lobe of the lung. Based on these clinical and histopathological findings, we concluded that her condition was skin metastasis at the right labium majora from the lung cancer, which occurs very rarely.
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Affiliation(s)
- Ji Hoon Sim
- Department of Dermatology, Soonchunhyang University Hospital, Cheonan, Korea
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140
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Abstract
Skin metastases from visceral cancers are rare and the reported incidence from all visceral cancers is 1.4% to 10%. Skin metastases from colorectal cancers account for only 5% of metastatic skin cancers, among which scalp metastases are very rare. We describe a 53-year-old man with scalp metastasis derived from sigmoid colon cancer that was diagnosed and surgically resected in 2005. Metastatic lung tumors that developed thereafter were surgically resected and then chemotherapy was administered. However, metastatic brain tumors occurred in 2008, and these were treated by gamma-knife radiosurgery. Around the same time, a raised lesion that appeared on the scalp was diagnosed as skin metastasis and treated with best supportive care. Thereafter, the brain metastases continued to spread, and the patient died in October 2008.
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141
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Marcoval J, Penín RM, Llatjós R, Martínez-Ballarín I. Cutaneous metastasis from lung cancer: Retrospective analysis of 30 patients. Australas J Dermatol 2011; 53:288-90. [PMID: 23157780 DOI: 10.1111/j.1440-0960.2011.00828.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- Joaquim Marcoval
- Departments of Dermatology Pathology Pneumology, Bellvitge Hospital, IDIBELL, Hospitalet de Llobregat, Barcelona, Spain.
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142
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Kim WJ, Park HJ, Kim HS, Kim SH, Ko HC, Kim BS, Kim MB. Vulval metastasis from squamous cell carcinoma of the cervix clinically presenting as lymphangioma circumscriptum. Ann Dermatol 2011; 23 Suppl 1:S64-7. [PMID: 22028576 PMCID: PMC3199426 DOI: 10.5021/ad.2011.23.s1.s64] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2010] [Revised: 09/16/2010] [Accepted: 09/16/2010] [Indexed: 11/30/2022] Open
Abstract
Patients with cervical cancer may develop local recurrence or distant metastasis, and the rate of these events is increased in proportion to the clinical stage. Cutaneous metastasis of cervical cancer is very rare and only a few cases have been reported in Korean literature. It is common at the abdominal wall, vulva, and anterior chest wall and mainly presents as an asymptomatic dermal or subcutaneous nodule, ulcer or plaque. We herein report on an interesting case of vulval metastasis from squamous cell carcinoma of the cervix with an unusual clinical manifestation resembling lymphagioma circumscriptum.
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Affiliation(s)
- Won-Jeong Kim
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
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143
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Milia-like papules on upper trunk, neck, and left forehead. J Am Acad Dermatol 2011; 65:467-469. [DOI: 10.1016/j.jaad.2010.02.042] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2010] [Revised: 02/11/2010] [Accepted: 02/21/2010] [Indexed: 11/19/2022]
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144
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Abstract
We report the case of a rare presentation of cutaneous metastatic breast carcinoma. A 72-year-old lady who was previously fit and well presented with a 2-month history of a rash over the left breast. Clinically, in addition to the rash, she had a fixed tender mass of left supraclavicular fossa and left axillary lymph nodes. Punch biopsy of the skin demonstrated metastatic carcinoma and ultrasound of the left breast revealed a 9 mm irregular mass which was biopsied, demonstrating poorly differentiated grade III adenocarcinoma. She was oestrogen receptor negative but human epidermal growth factor receptor-2 positive on immunohistochemistry. She is currently undergoing chemotherapy with taxotere and herceptin.
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Affiliation(s)
- Muneer Ahmed
- General and Breast Surgery, Shrewsbury and Telford NHS Trust, Telford, UK.
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145
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Nava G, Greer K, Patterson J, Lin KY. Metastatic cutaneous breast carcinoma: A case report and review of the literature. THE CANADIAN JOURNAL OF PLASTIC SURGERY = JOURNAL CANADIEN DE CHIRURGIE PLASTIQUE 2011; 17:25-7. [PMID: 20190910 DOI: 10.1177/229255030901700105] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Cutaneous metastatic carcinoma, also known as carcinoma erysipeloides, is an unusual clinical finding. In women, it is most frequently found in association with breast cancer rather than other visceral malignancies. Breast cancer patients can present with cutaneous manifestations of breast disease at the time of their initial diagnosis; however, cutaneous metastases more often present well after the initial diagnosis and treatment of the breast disease. Prompt recognition of skin metastases by the plastic surgeon, especially during the delayed setting of reconstructive surgery following mastectomy, allows for earlier intervention in treating the systemic spread of the disease. A clinical case of carcinoma erysipeloides presenting in this delayed setting is outlined in the present report, along with a review of the literature.
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146
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Miida H, Ito M, Sakata E, Koyama Y. Annular erythemas diagnosed as cutaneous metastasis of breast carcinoma: spontaneous resolution of the lesions. Int J Dermatol 2011; 50:898-900. [DOI: 10.1111/j.1365-4632.2010.04483.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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147
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Matthiessen LW, Chalmers RL, Sainsbury DCG, Veeramani S, Kessell G, Humphreys AC, Bond JE, Muir T, Gehl J. Management of cutaneous metastases using electrochemotherapy. Acta Oncol 2011; 50:621-9. [PMID: 21574833 PMCID: PMC3130997 DOI: 10.3109/0284186x.2011.573626] [Citation(s) in RCA: 120] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Background. Cutaneous metastases may cause considerable discomfort as a consequence of ulceration, oozing, bleeding and pain. Electrochemotherapy has proven to be highly effective in the treatment of cutaneous metastases. Electrochemotherapy utilises pulses of electricity to increase the permeability of the cell membrane and thereby augment the effect of chemotherapy. For the drug bleomycin, the effect is enhanced several hundred-fold, enabling once-only treatment. The primary endpoint of this study is to evaluate the efficacy of electrochemotherapy as a palliative treatment. Methods. This phase II study is a collaboration between two centres, one in Denmark and the other in the UK. Patients with cutaneous metastases of any histology were included. Bleomycin was administered intratumourally or intravenously followed by application of electric pulses to the tumour site. Results. Fifty-two patients were included. Complete and partial response rate was 68% and 18%, respectively, for cutaneous metastases <3 cm and 8% and 23%, respectively, for cutaneous metastases >3 cm. Treatment was well-tolerated by patients, including the elderly, and no serious adverse events were observed. Conclusions. ECT is an efficient and safe treatment and clinicians should not hesitate to use it even in the elderly.
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Affiliation(s)
- Louise Wichmann Matthiessen
- Center for Experimental Drug and Gene Electrotransfer (C*EDGE), Department of Oncology, Copenhagen University Hospital Herlev, Denmark
| | - Richard Ling Chalmers
- Department of Reconstructive Plastic Surgery, James Cook University Hospital, Middlesbrough, UK
| | | | - Sivakumar Veeramani
- Department of Reconstructive Plastic Surgery, James Cook University Hospital, Middlesbrough, UK
| | - Gareth Kessell
- Department of Anaesthesia, James Cook University Hospital, Middlesbrough, UK
| | | | - Jane Elisabeth Bond
- Department of Reconstructive Plastic Surgery, James Cook University Hospital, Middlesbrough, UK
| | - Tobian Muir
- Department of Reconstructive Plastic Surgery, James Cook University Hospital, Middlesbrough, UK
| | - Julie Gehl
- Center for Experimental Drug and Gene Electrotransfer (C*EDGE), Department of Oncology, Copenhagen University Hospital Herlev, Denmark
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148
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Isa NM, Bong JJ, Ghani FA, Rose IM, Husain S, Azrif M. Cutaneous metastasis of hepatocellular carcinoma diagnosed by fine needle aspiration cytology and Hep Par 1 immunopositivity. Diagn Cytopathol 2011; 40:1010-4. [PMID: 21563319 DOI: 10.1002/dc.21706] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2010] [Accepted: 02/25/2011] [Indexed: 01/11/2023]
Abstract
Cutaneous metastasis of hepatocellular carcinoma (HCC) is very rare, accounting for less than 0.8% of all known cutaneous metastases and occurring in 2.7-3.4% of HCCs. With less than 50 such cases reported worldwide, most of which were diagnosed histologically on excised lesions, it can only be expected that diagnosis made on cytological features alone would be challenging. We report a case of cutaneous metastasis of HCC diagnosed based on cytological features and confirmed by Hep Par 1 immunopositivity of the cell block material. An 81-year-old man, who was known to have unresectable HCC, presented with a 1-month history of painless, left nasal alae mass. The mass measured 1.5 cm in diameter, and was multilobulated with a central necrosis. Fine needle aspiration of the mass was done. Smears were cellular, comprising of malignant cells in loose clusters and aggregates as well as singly dispersed. The malignant cells displayed moderate nuclear pleomorphism, occasional prominent nucleoli, and intranuclear pseudoinclusion. Cell block material demonstrated the trabeculae pattern of the malignant cells and Hep Par 1 immunopositivity. The final diagnosis of a metastatic cutaneous HCC was made. In conclusion, cutaneous HCC metastasis is rare and should be considered in the differential diagnosis in patients with a history of HCC presenting with suspicious skin lesion. In the right clinical setting, a confident diagnosis can be made in such cases by using the fine needle aspiration technique aided with immunopositivity for Hep Par 1 antibody of the aspirated material.
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Affiliation(s)
- Nurismah Md Isa
- Department of Pathology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
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149
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Lee K, Lee CY, Jung H. Dissolving microneedles for transdermal drug administration prepared by stepwise controlled drawing of maltose. Biomaterials 2011; 32:3134-40. [DOI: 10.1016/j.biomaterials.2011.01.014] [Citation(s) in RCA: 145] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2010] [Accepted: 01/05/2011] [Indexed: 11/27/2022]
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Gogalniceanu P, Jarral OA, Purkayastha S, Aggarwal R, Zacharakis E. Chest wall metastasis from oesophageal adenocarcinoma: a rare presentation. Updates Surg 2011; 63:223-6. [PMID: 21442344 DOI: 10.1007/s13304-011-0062-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2011] [Accepted: 03/10/2011] [Indexed: 10/18/2022]
Abstract
Body wall secondary deposits from visceral cancers represent a relatively rare form of metastasis. Oesophageal cancer is associated with poor survival outcomes, requiring careful staging and multidisciplinary therapeutic planning. The presence of skin and subcutaneous metastases in this patient group is rare and usually associated with squamous cell carcinomas. We present a case of subcutaneous metastasis from an oesophageal adenocarcinoma, discuss its impact on management and highlight the need for careful physical assessment in clinical practice in order to detect occult secondary deposits.
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Affiliation(s)
- Petrut Gogalniceanu
- Department of Surgery and Cancer, Imperial College London, St. Mary's Hospital, London, UK
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