Cutaneous metastatic adenocarcinoma.

Area of Science:

• Oncology
• Dermatology
• Pathology

Background:

• Cutaneous metastases can be the initial presentation of an underlying malignancy.
• Skin lesions may be the only sign of advanced cancer, presenting diagnostic challenges.
• Early recognition of skin metastases is crucial for timely diagnosis and treatment.

Purpose of the Study:

• To report a case of metastatic adenocarcinoma presenting as asymptomatic skin nodules and plaques.
• To discuss the clinical features and diagnostic significance of cutaneous metastases.
• To emphasize the importance of skin examination in cancer staging and diagnosis.

Main Methods:

• A 55-year-old male patient with respiratory symptoms and skin lesions was evaluated.
• Clinical diagnosis of cutaneous metastatic disease was considered.
• Skin nodule biopsy was performed for histopathological examination.

Main Results:

• The patient presented with asymptomatic scalp and pubic nodules and plaques.
• Histopathological analysis of skin biopsies confirmed metastatic adenocarcinoma.
• Chest X-ray showed coin-shaped shadows and pleural effusion, suggesting widespread disease.

Conclusions:

• Cutaneous metastases from an unknown primary adenocarcinoma can manifest as asymptomatic skin lesions.
• Skin biopsy is essential for diagnosing metastatic disease.
• This case underscores the significance of cutaneous metastases in the overall management of cancer patients.