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 an...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2024-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2024/7951391 |
| _version_ | 1797348020519436288 |
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| author | Sara Ibrahim-Shaikh Noah Shaikh Nour Daboul Esra Alshaikhnassir Maria Hafez Monika E. Freiser |
| author_facet | Sara Ibrahim-Shaikh Noah Shaikh Nour Daboul Esra Alshaikhnassir Maria Hafez Monika E. Freiser |
| author_sort | Sara Ibrahim-Shaikh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T11:57:24Z |
| format | Article |
| id | doaj.art-3f6021753cbc4c4cb8698da806ea1673 |
| institution | Directory Open Access Journal |
| issn | 2090-6471 |
| language | English |
| last_indexed | 2024-03-08T11:57:24Z |
| publishDate | 2024-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj.art-3f6021753cbc4c4cb8698da806ea16732024-01-24T00:00:05ZengHindawi LimitedCase Reports in Dermatological Medicine2090-64712024-01-01202410.1155/2024/7951391Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal MetastasisSara Ibrahim-Shaikh0Noah Shaikh1Nour Daboul2Esra Alshaikhnassir3Maria Hafez4Monika E. Freiser5School of MedicineDepartment of Otolaryngology-Head and Neck SurgeryDepartment of Hematology/OncologyDepartment of PathologyDepartment of Hematology/OncologyDepartment of Otolaryngology-Head and Neck SurgeryDermal 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.http://dx.doi.org/10.1155/2024/7951391 |
| spellingShingle | Sara Ibrahim-Shaikh Noah Shaikh Nour Daboul Esra Alshaikhnassir Maria Hafez Monika E. Freiser Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis Case Reports in Dermatological Medicine |
| title | Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis |
| title_full | Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis |
| title_fullStr | Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis |
| title_full_unstemmed | Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis |
| title_short | Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis |
| title_sort | metastatic esophageal adenocarcinoma presenting as neck dermal metastasis |
| url | http://dx.doi.org/10.1155/2024/7951391 |
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