FNA Diagnosed Skin Metastasis in a Young Man with Rectal Cancer

hamid nasrolahi, Bita Geramizadeh, Leila MoaddabShoar, Seyed Hasan Hamedi, Mohammad MohammadianPanah, Shapour Omidvari, Mansour Ansari, Niloofar Ahmadloo, Ahmad Mosalaei

Abstract


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Although colon cancer is one of the most common human cancers, skin metastasis in this cancer is rare. Herein we present a 33 years old man who had a rectal cancer and presented with ascitis. After receiving 6 cycles of oxaliplatin-based chemotherapy his ascitis improved. Three weeks later, he came back with skin metastasis in upper trunk, both chest wall and back, extending to anterior neck. Fine Needle Aspiration [FNA] from lesions showed malignancy. Second line [Irinotecan-based] chemotherapy started for him. Although his lesions showed partial response, unfortunately he died after 4th chemotherapy injection. Skin metastasis is rare in colorectal cancer, and it necessitates pathological confirmation.


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