Girisha Banavasi Shanmukha, Noronha Tonita Mariola, Alva Akshata C, Nayak Preethi B
Department of Dermatology, K S Hegde Medical Academy, Mangalore, Karnataka, India.
Indian J Med Paediatr Oncol. 2017 Jan-Mar;38(1):67-69. doi: 10.4103/0971-5851.203504.
A 47-year-old female patient presented with painless skin colored and erythematous papules coalesced to form plaques over lower abdomen for 10 days. She had undergone exploratory laparotomy with hysterectomy and bilateral oophorectomy 1 month ago, and histopathology was reported as Krukenbergs tumor. She was getting evaluated for primary, when she was referred to dermatology. A clinical diagnosis of cutaneous infiltration of tumor was made, and biopsy was done from a representative lesion which showed features suggestive of metastatic poorly differentiated adenocarcinoma. In the majority of cases in the past, cutaneous metastasis is seen much later in the course of the disease. High degree of suspicion and histopathology was helpful in the diagnosis of underlying malignancy in our patient.
一名47岁女性患者,下腹部出现无痛性肤色及红斑性丘疹并融合成斑块10天。1个月前她接受了剖腹探查术、子宫切除术及双侧卵巢切除术,组织病理学报告为库肯勃瘤。在评估原发疾病时,她被转诊至皮肤科。临床诊断为肿瘤皮肤浸润,从一个具有代表性的病变部位进行了活检,结果显示为转移性低分化腺癌。在过去的大多数病例中,皮肤转移在疾病进程中出现得要晚得多。高度怀疑及组织病理学检查有助于诊断我们这位患者的潜在恶性肿瘤。