Peristomal adenocarcinoma 16 years after colorectal adenocarcinoma resection with curative intent

Kayleigh A. M. van Dam*, Thais T. T. Tweed, Bart de Vries, Henricus J. Belgers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Metachronous colorectal cancer is relatively rare, occurring in 0.7-3.6% of patients diagnosed with colorectal adenocarcinoma. Cutaneous metastases are similarly a rare presentation, occurring in <6% of metastatic colorectal cancer patients. Even more rare are the cutaneous recurrences at the peristomal site. Clinically, it is difficult to distinguish between metachronous cancer and cutaneous metastases. This paper reports a case of an elderly woman presenting with a slowly progressing peristomal cutaneous lesion 16 years after surgical resection for colorectal cancer. Core punch biopsy revealed a cutaneous localization of an intestinal type of adenocarcinoma. A surgical resection of the peristomal area was carried out whereby a new colostomy was created on the contralateral side. Definite histopathological examination showed a superficially located intestinal type adenocarcinoma with extensive pagetoid spread in the epidermal surface. In conclusion, it is important to remain alert and strive for early detection for cutaneous abnormalities following colorectal cancer.
Original languageEnglish
Article numberrjad419
Number of pages4
JournalJournal of Surgical Case Reports
Volume2023
Issue number7
DOIs
Publication statusPublished - 3 Jul 2023

Keywords

  • CUTANEOUS METASTASIS
  • COLOSTOMY SITE
  • CANCER

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