Unusual metastasis of esophageal cancer
Introduction. Carcinoma of the esophagus is in the eighth place by the frequency of malignant diseases and the sixth cause of death from cancer worldwide. It usually metastasizes to regional lymph nodes, liver, lungs, central nervous system, and bones, but metastases can appear to unusual...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2014-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501410975V.pdf |
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| Summary: | Introduction. Carcinoma of the esophagus is in the eighth place by the
frequency of malignant diseases and the sixth cause of death from cancer
worldwide. It usually metastasizes to regional lymph nodes, liver, lungs,
central nervous system, and bones, but metastases can appear to unusual
locations such as facial skin and lips. Case report. We presented a 56-
year-old man who reported to his physician because of upper lip swelling. A
physical checkup of the patients also showed a lesion on the skin of the left
temporal region and both lesions were biopsied. Based on the results of
histopathological and immunohistochemical analyses of the samples a diagnosis
of metastatic adenocarcinoma to the skin was established. Additional
diagnostic procedures, including esophagogastroduodenoscopy, detected the
infiltration into the distal part of esophagus, which was histopathologically
confirmed as adenocarcinoma of esophagus. The results of positron emission
tomography/computed tomography (PET/CT) examination showed the invasion of
the disease. Because of the disease expansion, a multidisciplinary oncology
team suggested chemo- and radiotherapy treatment. The patient has received 4
cycles of platinum-based chemotherapy so far. Conclusion. The physicians
should always consider unusual skin lesions as the first sign of cancer
spreading. |
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| ISSN: | 0042-8450 |