A Case of Rare Cutaneous Metastasis from Advanced Pancreatic Cancer
A 71-year-old woman presented to a nearby hospital with an occipital scalp ulcer with exudate. Thoracoabdominal enhanced computed tomography (CT) was performed due to suspected cancer. The imaging results showed tumors in the pancreatic tail and at multiple sites in the lung, whereupon she was refer...
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Karger Publishers
2020-01-01
|
Series: | Case Reports in Oncology |
Subjects: | |
Online Access: | https://www.karger.com/Article/FullText/505322 |
id |
doaj-cb4021f2875b4423b823af7f3865e2f0 |
---|---|
record_format |
Article |
spelling |
doaj-cb4021f2875b4423b823af7f3865e2f02020-11-24T23:58:55ZengKarger PublishersCase Reports in Oncology1662-65752020-01-01131495410.1159/000505322505322A Case of Rare Cutaneous Metastasis from Advanced Pancreatic CancerHiroyuki ItoTakuma TajiriShin-ichiro HiraiwaTomoko SugiyamaAyano ItoYoshimasa ShinmaMotoki KanekoKazuya AnzaiShingo TsudaHitoshi IchikawaJunko NagataSeiichiro KojimaNorihito WatanabeA 71-year-old woman presented to a nearby hospital with an occipital scalp ulcer with exudate. Thoracoabdominal enhanced computed tomography (CT) was performed due to suspected cancer. The imaging results showed tumors in the pancreatic tail and at multiple sites in the lung, whereupon she was referred to our hospital for further investigation. Histological analysis of the occipital scalp ulcer and the pancreatic tumor led to the diagnosis of pancreatic adenocarcinoma with cutaneous metastasis and multiple lung metastases. Combination chemotherapy (gemcitabine and nab-paclitaxel) was started, and about 4 months later the patient experienced right lower back pain. Abdominal CT showed partial sclerosis of the right iliac bone and multiple spinal lesions, which were diagnosed as multiple bone metastases. Narcotic analgesia was started for the right lower back pain. Since then, FOLFIRINOX has been introduced as second-line chemotherapy against tumor growth, and treatment has been ongoing for 10 months since the initial chemotherapy. Pancreatic cancer is a rapidly growing cancer and can show early metastasis to other organs, lymph node metastasis, and peritoneal dissemination; therefore, the prognosis of pancreatic cancer is very poor. Cutaneous metastasis from pancreatic cancer is rare, and only a few cases have been reported. Here, we report an unusual case of pancreatic adenocarcinoma with cutaneous metastasis and multiple lung and bone metastases.https://www.karger.com/Article/FullText/505322pancreatic cancercutaneous metastasisbone metastasis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hiroyuki Ito Takuma Tajiri Shin-ichiro Hiraiwa Tomoko Sugiyama Ayano Ito Yoshimasa Shinma Motoki Kaneko Kazuya Anzai Shingo Tsuda Hitoshi Ichikawa Junko Nagata Seiichiro Kojima Norihito Watanabe |
spellingShingle |
Hiroyuki Ito Takuma Tajiri Shin-ichiro Hiraiwa Tomoko Sugiyama Ayano Ito Yoshimasa Shinma Motoki Kaneko Kazuya Anzai Shingo Tsuda Hitoshi Ichikawa Junko Nagata Seiichiro Kojima Norihito Watanabe A Case of Rare Cutaneous Metastasis from Advanced Pancreatic Cancer Case Reports in Oncology pancreatic cancer cutaneous metastasis bone metastasis |
author_facet |
Hiroyuki Ito Takuma Tajiri Shin-ichiro Hiraiwa Tomoko Sugiyama Ayano Ito Yoshimasa Shinma Motoki Kaneko Kazuya Anzai Shingo Tsuda Hitoshi Ichikawa Junko Nagata Seiichiro Kojima Norihito Watanabe |
author_sort |
Hiroyuki Ito |
title |
A Case of Rare Cutaneous Metastasis from Advanced Pancreatic Cancer |
title_short |
A Case of Rare Cutaneous Metastasis from Advanced Pancreatic Cancer |
title_full |
A Case of Rare Cutaneous Metastasis from Advanced Pancreatic Cancer |
title_fullStr |
A Case of Rare Cutaneous Metastasis from Advanced Pancreatic Cancer |
title_full_unstemmed |
A Case of Rare Cutaneous Metastasis from Advanced Pancreatic Cancer |
title_sort |
case of rare cutaneous metastasis from advanced pancreatic cancer |
publisher |
Karger Publishers |
series |
Case Reports in Oncology |
issn |
1662-6575 |
publishDate |
2020-01-01 |
description |
A 71-year-old woman presented to a nearby hospital with an occipital scalp ulcer with exudate. Thoracoabdominal enhanced computed tomography (CT) was performed due to suspected cancer. The imaging results showed tumors in the pancreatic tail and at multiple sites in the lung, whereupon she was referred to our hospital for further investigation. Histological analysis of the occipital scalp ulcer and the pancreatic tumor led to the diagnosis of pancreatic adenocarcinoma with cutaneous metastasis and multiple lung metastases. Combination chemotherapy (gemcitabine and nab-paclitaxel) was started, and about 4 months later the patient experienced right lower back pain. Abdominal CT showed partial sclerosis of the right iliac bone and multiple spinal lesions, which were diagnosed as multiple bone metastases. Narcotic analgesia was started for the right lower back pain. Since then, FOLFIRINOX has been introduced as second-line chemotherapy against tumor growth, and treatment has been ongoing for 10 months since the initial chemotherapy. Pancreatic cancer is a rapidly growing cancer and can show early metastasis to other organs, lymph node metastasis, and peritoneal dissemination; therefore, the prognosis of pancreatic cancer is very poor. Cutaneous metastasis from pancreatic cancer is rare, and only a few cases have been reported. Here, we report an unusual case of pancreatic adenocarcinoma with cutaneous metastasis and multiple lung and bone metastases. |
topic |
pancreatic cancer cutaneous metastasis bone metastasis |
url |
https://www.karger.com/Article/FullText/505322 |
work_keys_str_mv |
AT hiroyukiito acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT takumatajiri acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT shinichirohiraiwa acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT tomokosugiyama acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT ayanoito acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT yoshimasashinma acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT motokikaneko acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT kazuyaanzai acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT shingotsuda acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT hitoshiichikawa acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT junkonagata acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT seiichirokojima acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT norihitowatanabe acaseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT hiroyukiito caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT takumatajiri caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT shinichirohiraiwa caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT tomokosugiyama caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT ayanoito caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT yoshimasashinma caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT motokikaneko caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT kazuyaanzai caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT shingotsuda caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT hitoshiichikawa caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT junkonagata caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT seiichirokojima caseofrarecutaneousmetastasisfromadvancedpancreaticcancer AT norihitowatanabe caseofrarecutaneousmetastasisfromadvancedpancreaticcancer |
_version_ |
1725448897099202560 |