Department of Surgery and Cancer, Imperial College London, St. Mary's Hospital, London, UK.
Updates Surg. 2011 Sep;63(3):223-6. doi: 10.1007/s13304-011-0062-y. Epub 2011 Mar 26.
Body wall secondary deposits from visceral cancers represent a relatively rare form of metastasis. Oesophageal cancer is associated with poor survival outcomes, requiring careful staging and multidisciplinary therapeutic planning. The presence of skin and subcutaneous metastases in this patient group is rare and usually associated with squamous cell carcinomas. We present a case of subcutaneous metastasis from an oesophageal adenocarcinoma, discuss its impact on management and highlight the need for careful physical assessment in clinical practice in order to detect occult secondary deposits.
内脏癌的体壁继发性转移是一种相对罕见的转移形式。食管癌患者的生存预后较差，需要仔细分期和多学科治疗计划。在这类患者群体中，皮肤和皮下转移较为罕见，通常与鳞状细胞癌相关。我们报告了一例食管腺癌皮下转移病例，讨论了其对治疗的影响，并强调了在临床实践中进行仔细的体格评估以发现隐匿性继发性转移的必要性。
