Cutaneous metastasis of esophageal adenocarcinoma with an unusual presentation.
We describe an unusual presentation of a cutaneous metastasis of esophageal adenocarcinoma in the left tempero-parietal skull and the sonographic features that helped establish the diagnosis. The patient had a primary tumor surgically resected 4 years earlier and was in clinical remission at the time of presentation. The patient presented to our radiology department with a lump on the head after a fall, and sonographic examination was recommended to assess the presumed posttraumatic hematoma. The examination revealed typical features of malignancy: a superficial solid mass invading the skull surrounded by an irregular network of blood vessels. This was confirmed on CT, and a definitive diagnosis was obtained on histologic analysis following sonographically guided biopsy.
Riley
Sara
S
Ultrasound Department, ST James's University Hospital, Beckett Street, Leeds, LS9 7TF, United Kingdom.
Wah
Tze
T
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000556:secondary; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004938:Esophageal Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008479:Mediastinal Neoplasms / Q000175:diagnosis* / Q000556:secondary; D012535:Scalp; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000556:secondary; D012888:Skull Neoplasms / Q000175:diagnosis* / Q000556:secondary; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color