ISSN : 2146-3123
E-ISSN : 2146-3131

Cutaneous Metastasis to the Thigh From Rectal Adenocarcinoma: A Case Report
Hakan Karagöl 1, Kazım Uygun 1, İrfan Çiçin 1, Selçuk Bilgi 2, Füsun Tokatlı 3, Murat Çaloğlu 3, Ruşen Coşar Alas 4
1Trakya Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı Tıbbi Onkoloji Bilim Dalı, Edirne
2Trakya Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Edirne
3Trakya Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Edirne
4Trakya Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Edirne, Türkiye
Pages : 43-46


A 72-year-old man underwent Miles operation for curative excision of adenocarcinoma infiltrating 1/3 distal part of the rectum and extending to the anal canal. He received adjuvant radiotherapy postoperatively. Fifty-four months after the operation, he presented with right supraclavicular lymphadenopathy 2 cm in diameter and a swelling in the right lower extremity. Clinical and pathological evaluations showed metastatic involvement of the right supraclavicular lymph node, lung, bone, and pelvic lymph nodes. Chemotherapy and palliative radiotherapy were initiated. Papular skin lesions were noted in the 1/3 middle part of the right thigh after the fourth cycle of chemotherapy. Pathologic examination of the skin lesions showed metastasis of adenocarcinoma, for which second-line chemotherapy and palliative radiotherapy were initiated. The patient died of disease progression eight months after recurrence.

Keywords : Adenocarcinoma; rectal neoplasms; skin neoplasms/ secondary
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