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DOI: 10.1055/s-0044-1797996
EPIDERMOID ESOPHAGEAL CANCER WITH CUTANEOUS AND PERITONEAL METASTASIS: A RARE PRESENTATION
Presentation: A female patient, 64 years old, with hypertension, diabetes and alcoholism, was admitted with progressive dysphagia, weight loss and high cervical pain in last 3 months. She was submitted to a gastrointestinal endoscopy and the diagnosis of a stenosing lesion in superior esophagus, 18cm from upper dental arch. The histopathological diagnosis was an epidermoid esophageal cancer. On CT, was observed a lesion with 3,1cm of length, on anterior wall of esophagus, without cleavage plan with the trachea. Also, was present several enlarged lymph nodes. After a multiprofessional meeting, was decided to manage the patient with chemotherapy and radiotherapy exclusively. During the treatment, an alternative feed way was need, and a jejunostomy was proceed. During this operation, was observed several peritoneal implants, causing small bowel obstruction. Therefore, an enterectomy was proceed. The histopathological study showed metastatic epidermoid carcinoma in fat tissue and in mesenteric lymph nodes. Simultaneously, cutaneous nodes in nose, scalp and left flank appeared and, again, the histopathological study showed metastatic epidermoid carcinoma. The patient had disease progression despite the treatment, and died 7 months after first contact with an oncology team. Discussion: Cutaneous metastasis from a esophageal epidermoid carcinoma are really rare, affecting only 1% of all histological kinds. Usually it is a metachronic event, with a 2 or 3 years of progression of the disease. The pattern of spreading on this patient is atypical, mainly during the treatment. Final comments: only rare cases of cutaneous spreading of esophageal epidermoid carcinoma was reported, and none with this features. The peritoneal spreading is another rare presentation. The combination between this two features make a rare situation, probably associated with high aggressive histological tumors.
No conflict of interest has been declared by the author(s).
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Publication History
Article published online:
23 October 2019
© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Ágata Rothert, Priscila Nunes Silva Morosini, Mariana de Castro, Marcela Santos Cavalcanti, Marciano Anghinoni. EPIDERMOID ESOPHAGEAL CANCER WITH CUTANEOUS AND PERITONEAL METASTASIS: A RARE PRESENTATION. Brazilian Journal of Oncology 2019; 15.
DOI: 10.1055/s-0044-1797996