학술논문
Metastatic Esophageal Adenocarcinoma Presenting as Neck Dermal Metastasis.
Document Type
Case Study
Author
Source
Subject
*CORE needle biopsy
*METASTASIS
*CARCINOEMBRYONIC antigen
*ADENOCARCINOMA
*BLOOD testing
*ESOPHAGEAL cancer
*HEAD & neck cancer
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Language
ISSN
2090-6463
Abstract
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. [ABSTRACT FROM AUTHOR]