Cutaneous metastases from colon cancer are uncommon and usually present as nodular lesions. We describe a patient with colonic carcinoma who developed an inflammatory pattern of cutaneous metastases. A review of the literature is also presented. Recognition of this entity is important as it may be mistaken for erysipelas and radiation recall phenomenon.
Early treatment with chemotherapy can result in meaningful palliation.
OtrmannE., HohenbergG.: Treatment side effects case 1: radiation recall phenomenon after administration of capecitabine.J Clin Oncol,20: 3029–3030, 2002.
2.
McGownA., YazijiH.: Immunohistochemical analysis of carcinomas of unknown primary site.Pathology Case Reviews,4: 250–259, 1999.
3.
HochsterH., ChachouaA., WernzJ., EscalonJ., MartinezS., MuggiaF.: Oxaliplatin with weekly bolus 5 FU and low-dose leucovorin: early report of high activity in first line therapy of advanced colorectal cancer.Proc ASCO,19: 1131, 2000.
4.
LookingbillD.P., SpanglerN., KlausF.H.: Cutaneous metastases in patients with metastatic carcinoma: a retrospective study of 4020 patients.J Am Acad Dermatol,29: 228–236, 1993.
5.
AbramsH.L., SpiroR., GoldsteinN.: Metastases in carcinoma: analysis of 1000 autopsied cases.Cancer,3: 74, 1950.
6.
SpencerP.S., HelmT.N.: Skin metastases in cancer patients.Cutis,39: 119–121, 1987.
7.
BrownsteinM.H., HelwigE.B.: Metastatic tumours of the skin.Cancer,29: 1298–1307, 1972.
8.
DanikasD., TheodorouS.J.V., ArvanitisM.L., ZinterhoferL.M., RienzoA.A.: Malar metastasis from rectal carcinoma: a case report.Am Surg,65: 1150–1152, 1999.
9.
ReingoldI.M.: Cutaneous metastases from internal carcinoma.Cancer,19: 162–168, 1966.
10.
BrownsteinM.H., HelwigE.G.: Spread of tumours to the skin.Arch Dermatol,107: 80–86, 1973.
11.
KauffmanC.L., SinaB.: Metastatic inflammatory carcinoma of the rectum: tumour spread by three routes.Am J Dermatopathol,19: 528–532, 1997.
