A Colorectal Cancer with Cutaneous Metastases Which Was Difficult to Distinguish from Drug Eruption

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  • 薬剤性皮膚炎と鑑別困難であった大腸癌皮膚転移の1例

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Abstract

<p>The patient was a 49-year-old woman who had cancer of the rectum (Ra-b). She underwent laparoscopic low anterior resection. At 8 months after the first operation, we diagnosed local recurrence in the abdominal cavity and performed abdominal perineal resection with total hysterectomy and adnexectomy. Chemotherapy was provided until 3rd line treatment because she appeared to have peritoneal dissemination. After 22 months from the first operation, erythema of the anterior thoracic region appeared after TAS102 treatment was initiated. Erythema did not improve in spite of performing skin care using steroid ointment. Therefore, she consulted a specialist in dermatology, and cutaneous metastasis of colorectal cancer was diagnosed. Unfortunately, she died after 25 months from the first operation. Skin metastasis of colorectal cancer has generally been regarded as a symptom of advanced systemic metastasis of the disease, and its prognosis is poor. Cutaneous metastasis from colorectal cancer is relatively rare. It is difficult for general surgeons to diagnose skin metastasis. We describe a case of rectal cancer with cutaneous metastasis which was difficult to distinguish from drug eruption, and review the literature.</p>

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