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KMID : 0614620160680040221
Korean Journal of Gastroenterology
2016 Volume.68 No. 4 p.221 ~ p.224
Non-umbilical Cutaneous Metastasis of Pancreatic Adenocarcinoma as the First Clinical Manifestation: A Case Report
Moon Ji-In

Park Ji-Young
Jeon Tae-Joo
Choi Jung-Min
Shin Won-Chang
Sung June-Min
Kim Young-Moon
Kim Hyun-Jung
Abstract
Non-umbilical cutaneous metastases from pancreatic adenocarcinomas are extremely rare. Only a few cases have been reported in the literature. An 83-year-old Korean woman, with no previous medical history, presented with a painful nodule on her scalp. Histologic examination of the nodule revealed a metastatic adenocarcinoma, and immunohistochemical staining was positive for cytokeratin (CK) 7 and CK 19. These findings were consistent with a metastatic carcinoma of pancreatic origin. An abdominal computed tomography scan identified a mass on the pancreatic head and multiple enlarged lymph nodes. Pathological examination of an endoscopic ultrasound-guided fine needle biopsy of the pancreatic mass determined that it was a poorly differentiated carcinoma. The patient refused any treatment owing to her old age and short life expectancy. Four months later, the disease progressed rapidly, and the patient died.
KEYWORD
Pancreatic neoplasms, Cutaneous, Neoplasm metastasis, Immunohistochemistry
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