title: Scalp ulcer as first sign of cholangiocarcinoma.
abstract: Metastases from distant primary tumors are rarely the first indicators of cancer. However, cutaneous metastases are not uncommon in cases of internal malignancy. This article describes the case of a 65-year-old man with cutaneous metastasis of cholangiocarcinoma who presented with a scalp ulcer as the only initial sign. This is only the third reported case of cholangiocarcinoma with distant cutaneous metastasis.
authors.affiliation: Department of Dermatology, Inönü University School of Medicine, 44315-Malatya, Turkey. gdogan@inonu.edu.tr
authors.forename: Gursoy
authors.initials: G
authors.lastname: Dogan
authors.forename: Yelda
authors.initials: Y
authors.lastname: Karincaoglu
authors.forename: Melih
authors.initials: M
authors.lastname: Karincaoglu
authors.forename: N Engin
authors.initials: NE
authors.lastname: Aydin
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis*; D018281:Cholangiocarcinoma / Q000175:diagnosis*; D006801:Humans; D008297:Male; D012535:Scalp / Q000473:pathology*; D012878:Skin Neoplasms / Q000556:secondary*; D012883:Skin Ulcer / Q000209:etiology*