title: Epidermotropic metastases from internal carcinomas.
abstract: Four cases of epidermotropically metastatic carcinoma are reported. One of them originated from a breast adenocarcinoma; in two other cases, the primary tumor was located in the large intestine; and, in the fourth case, the primary malignancy was a laryngeal squamous cell carcinoma. Clinically, the cutaneous metastases were nodular lesions and histologically, in addition to the involvement of the dermis by malignant cells, in three cases there was intraepidermal involvement by glandular structures. In the fourth case, the cutaneous metastatic tumor cells showed striking "folliculotropism." We review the literature of epidermotropically metastatic carcinoma and discuss its differential diagnosis.
authors.affiliation: Department of Dermatology, Faculty of Medicine, San Carlos University Hospital, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Aguilar
authors.forename: C
authors.initials: C
authors.lastname: Schoendorff
authors.forename: M J
authors.initials: MJ
authors.lastname: Lopez Redondo
authors.forename: P
authors.initials: P
authors.lastname: Ambrojo
authors.forename: L
authors.initials: L
authors.lastname: Requena
authors.forename: E
authors.initials: E
authors.lastname: Sanchez Yus
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000473:pathology; D007822:Laryngeal Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012878:Skin Neoplasms / Q000473:pathology / Q000556:secondary*