Balta Ahmet Ziya, Sücüllü İlker, Özdemir Yavuz, Dandin Özgür
Department of General Surgery, Gülhane Military Academy Haydarpaşa Training Hospital, İstanbul, Turkey.
Department of General Surgery, Bursa Military Hospital, Bursa, Turkey.
Ulus Cerrahi Derg. 2013 May 28;29(4):197-9. doi: 10.5152/UCD.2013.16. eCollection 2013.
In this case report, our aim was to emphasize that cutaneous involvement can be seen at the time of diagnosis or during the clinical course of visceral organ cancers in general and in colorectal cancers particularly. We also aimed to demonstrate that cutaneous lesions occurring in patients under follow up for visceral organ cancers could be metastases. A rapid progressing scalp lesion was detected in a newly diagnosed rectal cancer patient and the tru-cut biopsy revealed adenocarcinoma metastasis. This patient died due to a myocardial infarction during neoadjuvant chemotherapy. Cutaneous metastatic lesions in colorectal cancers must be evaluated as a sign of advanced disease and treatment protocols should be determined accordingly.
在本病例报告中,我们的目的是强调皮肤受累在一般内脏器官癌症尤其是结直肠癌的诊断时或临床过程中均可出现。我们还旨在证明,在内脏器官癌症随访患者中出现的皮肤病变可能是转移灶。一名新诊断的直肠癌患者检测到头皮有快速进展的病变,粗针活检显示为腺癌转移。该患者在新辅助化疗期间死于心肌梗死。结直肠癌的皮肤转移病变必须被视为疾病进展的标志,并应据此确定治疗方案。