Massive zosteriform cutaneous metastasis from rectal carcinoma.
A 44-year-old man presented with a large and rapidly growing skin lesion approximately six months after resection of a rectal carcinoma. The lesion measured 40 cm in size, extended from the suprapubic area to the proximal half of the left groin, and showed a particular zosteriform aspect. Biopsy confirmed a metastatic skin adenocarcinoma. Cutaneous metastases from rectal cancer are very uncommon. Their gross appearance is not distinctive, although the skin tumors are usually solid, small (less than 5 cm) and painless nodules or papules. Early biopsies for suspicious skin lesions are needed in patients with a history of colorectal cancer.
Damin
D C
DC
Department of Coloproctologic Surgery, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. damin@terra.com.br
Lazzaron
A R
AR
Tarta
C
C
Cartel
A
A
Rosito
M A
MA
D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D000328:Adult; D001707:Biopsy, Needle; D003082:Colectomy / Q000379:methods; D018450:Disease Progression; D017809:Fatal Outcome; D006562:Herpes Zoster / Q000473:pathology; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D009367:Neoplasm Staging; D035583:Rare Diseases; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000556:secondary*