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Case Report
Cutaneous metastatic lesion as a presentation of rectal cancer: A case report
1 Hospital Dr. Nélio Mendonça – Resident, General Surgery Department, Funchal, Madeira, Portugal
2 Hospital Dr. Nélio Mendonça – Consultant, General Surgery Department, Funchal, Madeira, Portugal
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Catarina Muller
Avenida Luís de Camões, Nº 47, Funchal, Madeira, Postal Code: 9004-514,
Portugal
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Article ID: 100097Z06CM2021
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Muller C, Rodrigues C, Gouveia M, Encarnação V, Sousa MO, Reis M. Cutaneous metastatic lesion as a presentation of rectal cancer: A case report. Case Rep Int 2021;10:100097Z06CM2021.ABSTRACT
Introduction: Colorectal cancer is ranked third among the most commonly diagnosed malignancies and second among the leading causes of cancer death in the world. However, only a few case reports are found in the literature regarding skin metastases originating from rectal cancer, which usually shows widespread disease and poor prognosis.
Case Report: A 68-year-old female patient presented with anterior chest wall pain and swelling and a history of progressive growing of the lesion for the last five months. Physical examination revealed a palpable 3 cm mass in the intermammillary area with mild inflammation of the surrounding skin. The lesion biopsy revealed moderately differentiated intestinal-type adenocarcinoma, suggesting metastasis of a colorectal primary cancer. Colonoscopy revealed an obstructive neoplasm of the rectum located 12 cm from the anal verge. Histology revealed a moderately differentiated adenocarcinoma as seen before in the skin lesion. The computed tomography (CT) scan also detected several secondary lesions on the liver.
Conclusion: Approximately 0.8% of the patients present with a skin lesion as the first indication of a silent internal malignancy, which is rare and carries a poor prognosis. Cutaneous metastases are considered as an advanced presentation of colorectal cancer, mostly managed with palliative care.
Keywords: Colorectal cancer, Cutaneous metastases, Skin lesion
SUPPORTING INFORMATION
Acknowledgments
António Caires, Hospital Dr. Nélio Mendonça – Resident, General Surgery Department, Funchal, Madeira, Portugal, cairesgirao@hotmail.com
Diana Fernandes, Hospital Dr. Nélio Mendonça – Consultant, General Surgery Department, Funchal, Madeira, Portugal, dianarfernandes@gmail.com
Rómulo Ribeiro, Hospital Dr. Nélio Mendonça – Consultant, General Surgery Department, Funchal, Madeira, Portugal, romuloribeiro@live.com.pt
Jorge Fernandes, Hospital Dr. Nélio Mendonça – Consultant, General Surgery Department, Funchal, Madeira, Portugal, jorgemfernandes@hotmail.com
Ricardo Viveiros, Hospital Dr. Nélio Mendonça – Consultant, General Surgery Department, Funchal, Madeira, Portugal, ricardoviveiros@hotmail.com
Fernando Jasmins, Hospital Dr. Nélio Mendonça – Consultant, General Surgery Department, Funchal, Madeira, Portugal, ftgj55@gmail.com
Catarina Muller - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Catarina Rodrigues - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Manuel Gouveia - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Vítor Encarnação - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Maria Olim Sousa - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Miguel Reis - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Catarina Muller et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
