A rare clinical manifestation of rectal adenocarcinoma and synchronous scalp metastasis: a case report
Ahmet Ziya Balta1, İlker Sücüllü1, Yavuz Özdemir1, Özgür Dandin2
1Department of General Surgery, Gülhane Military Academy Haydarpaşa Training Hospital, İstanbul, Turkey
2Department of General Surgery, Bursa Military Hospital, Bursa, Turkey
Abstract
In this case report, our aim was to emphasize that cutaneous involvement can be seen at the time of diagnosis or during the clinical course of visceral organ cancers generally and colorectal cancers particularly. We also aimed to demonstrate that cutaneous lesions occurring in patients followed for visceral organ cancer can be metastases. A rapidly progressing scalp lesion arose in a newly diagnosed rectal cancer patient and a tru-cut biopsy was performed due to suspicious physical examination findings. The pathological examination reported metastasis of adenocarcinoma. This patient died due to a myocardial infarction during neoadjuvant chemotherapy. Cutaneous metastatic lesions in colorectal cancers must be evaluated as a sign of advanced disease and treatment protocols have to be determined according to this finding.
Keywords: Rectal adenocarcinoma, cutaneous involvement, scalp metastasis
Externally peer-reviewed.
Concept - A.Z.B., İ.S., Y.Ö., Ö.D.; Design - A.Z.B., İ.S., Y.Ö., Ö.D.; Data Collection and/or Processing - A.Z.B., Y.Ö., Ö.D.; Analysis and/or Interpretation - A.Z.B., İ.S., Y.Ö.; Writer - A.Z.B., İ.S., Y.Ö., Ö.D.
No conflict of interest was declared by the authors.