Subcutaneous metastases from colon cancer: a case report.
BACKGROUND
Dukes A stages of colorectal cancer are rarely reported to metastasize. Subcutaneous or skin metastases from colon cancer are rare events and usually indicate widespread disease.


METHODS
We present the case of a 72-year-old Caucasian woman with Dukes A colorectal cancer at diagnosis and, three years later, a single secondary subcutaneous involvement with no other metastatic sites. The description of this case is supported by critical analysis of its clinical, radiological and pathological features. Our report illustrates that diagnosis can be difficult and controversial when relapse occurs in early stage patients and at uncommon sites.


CONCLUSIONS
The unusual and aggressive course of the reported disease stresses the importance of intensive follow-up in colorectal cancer patients with good prognostic factors.
Department of Medical-Surgical Science and Biothecnology, Oncology Unit, S,Maria Goretti Hospital, Latina - University of Rome "Sapienza" Corso della Repubblica, 04100, Latina, Italy. gianpaolo.spinelli@uniroma1.it.
Giuseppe
G
Lo Russo
Fabio
F
Accarpio
Gian Paolo
GP
Spinelli
Evelina
E
Miele
Francesco
F
Borrini
Linda
L
Cerbone
Valeria
V
Stati
Natalie
N
Prinzi
Martina
M
Strudel
Simone
S
Sibio
Silverio
S
Tomao