KMID : 0614620160680040221
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Korean Journal of Gastroenterology 2016 Volume.68 No. 4 p.221 ~ p.224
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Non-umbilical Cutaneous Metastasis of Pancreatic Adenocarcinoma as the First Clinical Manifestation: A Case Report
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Moon Ji-In
Park Ji-Young Jeon Tae-Joo Choi Jung-Min Shin Won-Chang Sung June-Min Kim Young-Moon Kim Hyun-Jung
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Abstract
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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.
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KEYWORD
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Pancreatic neoplasms, Cutaneous, Neoplasm metastasis, Immunohistochemistry
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