Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis.

Autor: Ibrahim-Shaikh S; School of Medicine, Indiana University, Indianapolis, Indiana, USA., Shaikh N; Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, West Virginia, USA., Daboul N; Department of Hematology/Oncology, West Virginia University, Morgantown, West Virginia, USA., Alshaikhnassir E; Department of Pathology, West Virginia University, Morgantown, West Virginia, USA., Hafez M; Department of Hematology/Oncology, West Virginia University, Morgantown, West Virginia, USA., Freiser ME; Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, West Virginia, USA.
Jazyk: angličtina
Zdroj: Case reports in dermatological medicine [Case Rep Dermatol Med] 2024 Jan 16; Vol. 2024, pp. 7951391. Date of Electronic Publication: 2024 Jan 16 (Print Publication: 2024).
DOI: 10.1155/2024/7951391
Abstrakt: Dermal metastasis is a rare manifestation of visceral disease, and esophageal adenocarcinomas represent around only 1% of primaries that present with cutaneous metastasis. In this case, we discuss a patient who presented with a painless submental mass and extensive right neck cutaneous induration and erythema. Core needle biopsy demonstrated poorly differentiated adenocarcinoma. Blood testing also demonstrated elevated carbohydrate antigen 19-9, carcinoembryonic antigen, and alkaline phosphatase. PET/CT followed by esophagoscopy led to the diagnosis of esophageal signet-cell adenocarcinoma primary with isolated dermal metastasis. The patient was started on palliative radiotherapy and passed away two months later from a suspected thoracic fistula and hydropneumothorax.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2024 Sara Ibrahim-Shaikh et al.)
Databáze: MEDLINE
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