Ileostomy Site Cutaneous Metastasis of Colorectal Carcinoma without Visceral Involvement: An Unusual Case
- Corresponding Author:
- Ilker Ozgur, M.D.
Department of Surgery
International Hospital, Istanbul Cad. No: 82
Yesilkoy, Bakirkoy, 34149, Istanbul, Turkey
Tel: +90(536) 829 9992
Fax: +90 (212) 468 4444
E-mail: [email protected]
Received Date: July 27, 2015 Accepted Date:September 29, 2015 Published Date:October 5, 2015
Citation:Ozgur I, Balik E, Sahin A, Emel Dasgin E, Akyuz A (2015) Ileostomy Site Cutaneous Metastasis of Colorectal Carcinoma without Visceral Involvement: An Unusual Case. J Gastrointest Dig Syst S13: S13-003. doi:10.4172/2161-069X.1000S13-003
Copyright: ©2015 Ozgur I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: The development of cutaneous metastasis during the course of colorectal carcinoma occurs very rarely (4% of patients with rectal carcinoma) and indicates widespread disease. The abdominal wall and perineal area are frequently the sites of cutaneous metastasis.
Case presentation: A 64-year-old woman who received series of daily radiotherapy over 30 days in 1974 due to cervical carcinoma underwent surgery for stage IIA sigmoid colon adenocarcinoma in 1995. In 2001, she underwent abdominoperineal resection, total abdominal hysterectomy, bilateral salpingo-oophorectomy, and left-sided end colostomy for stage IIIC distal rectal tumor. In 2004, the colostomy site changed to the right lower abdominal quadrant due to unsuccessful parastomal hernia repair in 2003. In 2008, she underwent right hemicolectomy due to stage IIA cecal tumor with end ileostomy in the right lower quadrant. In 2015, she was hospitalized due to the development of a mass at the end ileostomy site; other organ involvement was not observed. The abdominal wall and segmental small bowel were resected and an end ileostomy in the left lower quadrant was performed. Her pathology report revealed middle dermal invasion of moderately differentiated mucinous adenocarcinoma at the ileocutaneous junction with clear margins.
Conclusion: Isolated skin metastasis in colorectal cancer after primary surgery occurs rarely but it must be excluded during follow-up visits by careful examination.