Faye Papa Mamadou, Cagniet Audrey, Abousarhan Fadi, Jolidon Christian
Digestive Surgery Department, Soissons Hospital, France.
Digestive Surgery Department, Soissons Hospital, France.
Int J Surg Case Rep. 2020;77:18-21. doi: 10.1016/j.ijscr.2020.10.073. Epub 2020 Oct 23.
colorectal cancer is a public health challenge in France. Cutaneous metastases are rare but they give evidence of poor prognosis.
88 years old female patient, with a previous history of hysterectomy, venous thrombosis outcomes of ankle fracture and stable multiple sclerosis without treatment. She came to emergency with peritonitis. CT scan showed a pneumoperitoneum, and a transverse colonic mass. A laparotomy was performed. This revealed a perforation of caecum, and an obstructive tumor of transverse colon. An extended right semi-colectomy was performed to remove both the perforate caecum and the tumor. The patient was discharged on the 7th post-operative day. Examination confirm an adenocarcinoma pT3N0Mx. At follow up, a nodule was found on her forehead. The biopsy showed a metastasis of colon adenocarcinoma. A surgical resection was performed. To date the patient is well with no evidence of recurrent disease.
Cutaneous metastases are rare and there are no recommendations for their treatment. Surgical resection is the best choice, but radiotherapy may be an alternative.
在法国，结直肠癌是一项公共卫生挑战。皮肤转移罕见，但提示预后不良。
一名88岁女性患者，既往有子宫切除史、踝关节骨折后静脉血栓形成病史，患有稳定型多发性硬化症且未接受治疗。她因腹膜炎前来急诊。CT扫描显示有气腹和横结肠肿物。进行了剖腹手术。术中发现盲肠穿孔和横结肠梗阻性肿瘤。实施了扩大右半结肠切除术，以切除穿孔的盲肠和肿瘤。患者术后第7天出院。检查确诊为腺癌，pT3N0Mx。随访时，在她的前额发现一个结节。活检显示为结肠腺癌转移。进行了手术切除。迄今为止，患者情况良好，无疾病复发迹象。
皮肤转移罕见，目前尚无针对其治疗的推荐方案。手术切除是最佳选择，但放疗也可能是一种替代方案。
