Acral metastasis in a patient with ampullary carcinoma.
Although skin metastasis from a malignant tumor of an internal organ usually occurs at an advanced disease stage, there has been no prior report of a cutaneous acral metastasis from ampullary carcinoma to date. We report a 71-year old male patient with cutaneous metastasis from an ampullary adenocarcinoma. The patient had a history of pylorus preserving pancreaticoduodenectomy for carcinoma of the ampulla of Vater two years prior to presentation. Physical examination revealed ill-defined, painful and hard erythematous nodules at the left thumb and distal phalanx of the right middle finger. The computed tomography scan showed low density masses in the retroperitoneum; the histological examination of a nodule from the right middle finger showed a metastatic adenocarcinoma. This case illustrates that cutaneous metastasis from ampullary carcinoma has a poor prognosis.
Cho
Eun Young
EY
Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
Kim
Tae Hyeon
TH
Park
Seok Don
SD
Yun
Ki Jung
KJ
Choi
Suck Chei
SC
Kim
Haak Cheoul
HC
Nah
Yong Ho
YH
D000230:Adenocarcinoma / Q000473:pathology*; D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology*; D003138:Common Bile Duct Neoplasms / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011379:Prognosis; D012878:Skin Neoplasms / Q000556:secondary*