Herpetiform cutaneous metastases following negative second look laparotomy for ovarian adenocarcinoma
Case Reports
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Summary
Cutaneous metastases from gynecologic malignancy are rarely reported, and when present are invariably accompanied by intraperitoneal disease. In the present case extensive metastases to the skin of the abdomen, groin, thigh and perineum appeared six weeks following extensive “second look” laparotomy which revealed no evidence of intraperitoneal or retroperitoneal disease. The appearance of cutaneous metastases was preceded by only a one month history of leg swelling, erythema, and a markedly elevated serum CA-125. Problems in the differential diagnosis and management of this clinical situation are discussed.
Key words
Ovarian cancer Cutaneous metastasesPreview
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References
- 1.Gates O (1937) Cutaneous metastases of malignant disease. Am J Cancer 30:718–730Google Scholar
- 2.Rasbach D, Hendricks A, Stoltzner G (1978) Endometrial adenocarcinoma metastatic to the scalp. Arch Dermatol 114:1708Google Scholar
- 3.Alessi E, Innocenti M, Scala F (1985) Leiomyosarcoma metastatic to the back and scalp from a primary neoplasm in the uterus. Am J Dermatopathol 7:471Google Scholar
- 4.Brownstein MH, Helwig EB (1972) Patterns of cutancous metastases. Arch Dermatol 105:862Google Scholar
- 5.Brownstein MH, Helwig EB (1973) Spread of tumors to the skin. Arch Dermatol 107:80Google Scholar
- 6.Krumerman MS, Garrett R (1977) Carcinomas metastatic to the skin. New York State J Med 77:1900Google Scholar
- 7.Brownstein MH, Helwig EB (1972) Pattern of cutaneous metastases. Arch Dermatol 105:862Google Scholar
- 8.Reingold IM (1966) Cutaneous metastases from internal carcinoma. Cancer 19:162–168Google Scholar
- 9.Rosen T (1980) Cutaneous metastases. Med Clin NA 64:885Google Scholar
- 10.Ciafrani T, Smith JS (1956) Inflammatory diffuse cutaneous metastatic carcinoma from epidermal carcinoma of the vulva. Obstet Gynecol 8:500Google Scholar
- 11.Reinhold RG, Lokich JJ (1979) Electrocoagulation: palliative surgery to control metastatic cutaneous malignancy. J Surg Oncol 11:207Google Scholar
- 12.Tapley ND (1981) Radiation therapy with the electron beam. Sem Oncol 8:49Google Scholar
- 13.Schellhas HF, Schneider DF (1986) Hematoporphyrin derivate photoradiation therapy applied gynecology. Colp Gyn Las Surg 2:53Google Scholar
- 14.Niloff JM, Knapp RC, Lavin PT (1986) The CA-125 ovary as a predictor of clinical recurrence in epithelial ovarian cancer. 155:56Google Scholar
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© Springer-Verlag 1988