Acrocutaneous metastasis – A rare presentation

Reddy, Srujana Mandadi and Kudva, Annappa (2018) Acrocutaneous metastasis – A rare presentation. International Journal of Surgery Case Reports, 51. pp. 178-180. ISSN 2210-2612

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INTRODUCTION: Cutaneous metastasis from head and neck cancer is uncommon and it is seen fromlaryngeal cancer. Acrocutaneous metastasis from the base of tongue is relatively rare.CASE REPORT: We present a case of a 84-year-old male, previously diagnosed to have moderately differen-tiated squamous carcinoma of the base of tongue with lung and liver metastases and received palliativechemoradiation. He, now presented with ulcero-proliferative growth over the right 5th finger. In thepresent case, the patient initially presented with a nodule which later ulcerated and increased in size.There was associated discharge. There was clinical suspicion of underlying osteomyelitis. Hence right5th finger amputation upto the middle phalanx was done. The histopathology report of the specimenwas moderately differentiated squamous cell carcinoma. This is a case of skin metastasis from squamouscarcinoma of the base of Tongue is rare at a short span of time following the completion of treatment.This case has highlighted the probable presence of occult skin metastasis at the time of diagnosis, whichbecame apparent after the completion of treatment.CONCLUSION: Fine needle aspiration cytology should be done in cutaneous nodules associated with headand neck cancers to rule out malignancy, even if it clinically appears to be benign in nature.

Item Type: Article
Uncontrolled Keywords: Acrocutaneous metastasis; Cutaneous metastasis; Oral malignancy; Carcinoma base of tongue; Digital metastases; Skin metastasesa
Subjects: Medicine > KMC Manipal > Surgery
Depositing User: KMC Library
Date Deposited: 10 Jan 2019 04:51
Last Modified: 10 Jan 2019 04:51

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