表现为颈部真皮转移的转移性食管腺癌

Q3 Medicine
Case Reports in Dermatological Medicine Pub Date : 2024-01-16 eCollection Date: 2024-01-01 DOI:10.1155/2024/7951391
Sara Ibrahim-Shaikh, Noah Shaikh, Nour Daboul, Esra Alshaikhnassir, Maria Hafez, Monika E Freiser
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引用次数: 0

摘要

皮肤转移是内脏疾病的一种罕见表现,食管腺癌仅占出现皮肤转移的原发癌的 1%左右。在本病例中,我们讨论了一名因无痛性门下肿块和广泛的右颈部皮肤压痕和红斑而就诊的患者。核心针活检显示为分化较差的腺癌。血液检测还显示碳水化合物抗原 19-9、癌胚抗原和碱性磷酸酶升高。PET/CT 和食管镜检查后,诊断为食管原发信号细胞腺癌,伴有孤立的真皮转移。患者开始接受姑息性放疗,两个月后因疑似胸腔瘘和水肺气胸去世。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis.

Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis.

Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis.

Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis.

Dermal metastasis is a rare manifestation of visceral disease, and esophageal adenocarcinomas represent around only 1% of primaries that present with cutaneous metastasis. In this case, we discuss a patient who presented with a painless submental mass and extensive right neck cutaneous induration and erythema. Core needle biopsy demonstrated poorly differentiated adenocarcinoma. Blood testing also demonstrated elevated carbohydrate antigen 19-9, carcinoembryonic antigen, and alkaline phosphatase. PET/CT followed by esophagoscopy led to the diagnosis of esophageal signet-cell adenocarcinoma primary with isolated dermal metastasis. The patient was started on palliative radiotherapy and passed away two months later from a suspected thoracic fistula and hydropneumothorax.

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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
24
审稿时长
15 weeks
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