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Scalp Ulcer as First Sign of Cholangiocarcinoma

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Abstract

Metastases from distant primary tumors are rarely the first indicators of cancer. However, cutaneous metastases are not uncommon in cases of internal malignancy. This article describes the case of a 65-year-old man with cutaneous metastasis of cholangiocarcinoma who presented with a scalp ulcer as the only initial sign. This is only the third reported case of cholangiocarcinoma with distant cutaneous metastasis.

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References

  1. Spencer PS, Helm TN. Skin metastases in cancer patients. Cutis 1987 Feb; 39 (2): 119-21

    PubMed  CAS  Google Scholar 

  2. Schwartz RA. Cutaneous metastatic disease. J Am Acad Dermatol1995 Aug; 33 (2 Pt 1): 161-82

    Article  PubMed  CAS  Google Scholar 

  3. Lookingbill DP, Spangler N, Sexton FM. Skin involvement as the presenting sign of internal carcinoma: a retrospective study of 7316 cancer patients. J Am Acad Dermatol 1990 Jan; 22 (1): 19-26

    Article  PubMed  CAS  Google Scholar 

  4. Sons HU, Borchard F. Carcinoma of the extrahepatic bile ducts: a postmortem study of 65 cases and review of the literature. J Surg Oncol 1987 Jan; 34 (1): 6-12

    Article  PubMed  CAS  Google Scholar 

  5. Burke EC, Jarnagin WR, Hochwald SN, et al. Hilar cholangiocarcinoma: patterns of spread, the importance of hepatic resection for curative operation, and a presurgical clinical staging system. Ann Surg 1998 Sep; 228 (3): 385-94

    Article  PubMed  CAS  Google Scholar 

  6. Loew R, Dueber C, Schwarting A, et al. Subcutaneous implantation metastasis of a cholangiocarcinoma of the bile duct after percutaneous transhepatic biliary drainage (PTBD). Fur Radiol 1997; 7 (2): 259-61

    CAS  Google Scholar 

  7. Weber LA. Stump the experts: cutaneous lesion felt to represent direct extension of a cholangiocarcinoma via the drainage catheter tract. J Dermatol Surg Oncol 1993 Feb; 19 (2): 114, 180

    Google Scholar 

  8. Chapman WC, Sharp KW, Weaver F, et al. Tumor seeding from percutaneous biliary catheters. Ann Surg 1989 Jun; 209 (6: 708-15

  9. Bloom RA, Gordon RL, Manny Y, et al. Seeding of cholangiocarcinoma along T-tube tracts. Gastrointest Radiol 1984; 9 (2): 167-9

    Article  PubMed  CAS  Google Scholar 

  10. Shorvon PJ, Leung JW, Corcoran M, et al. Cutaneous seeding of malignant tumours after insertion of percutaneous prosthesis for obstructive jaundice. Br J Surg 1984 Sep; 71 (9): 694-5

    Article  PubMed  CAS  Google Scholar 

  11. Ueda K, Okada N, Yoshikawa K. A case of cutaneous metastasis of bile duct carcinoma. J Am Acad Dermatol 1991 Nov; 25 (5 Pt 1): 848-9

    Article  PubMed  CAS  Google Scholar 

  12. Tersigni R, Rossi P, Bochicchio O, et al. Tumor extension along percutaneous transhepatic biliary drainage tracts. Fur J Radiol 1986 Nov; 6 (4): 280-2

    CAS  Google Scholar 

  13. Balzani A, Clerico R, Schwartz RA, et al. Cutaneous implantation metastasis of cholangiocarcinoma after percutaneous transhepatic biliary drainage. Acta Dermatovenerol Croat 2005; 13 (2): 118-21

    PubMed  Google Scholar 

  14. Lu C1, Wong WR, Hong HS. Distant cutaneous metastases of cholangiocarcinoma: report of two cases of a previously unreported condition. J Am Acad Dermatol 2004 Aug; 51 (2 Suppl.): S108-11

  15. McKee PH. Cutaneous metastases. J Cutan Pathol1985 Jun-Aug; 12 (3-4): 239-50

  16. Lookingbill DP, Spangler N, Helm KF. Cutaneous metastases in patients with metastatic carcinoma: a retrospective study of 4020 patients. J Am Acad Dermatol 1993 Aug; 29 (2 Pt 1): 228-36

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

No sources of funding were used for the preparation of this case report. The authors have no conflicts of interest that are directly relevant to the content of this report.

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Correspondence to Gursoy Dogan.

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Dogan, G., Karincaoglu, Y., Karincaoglu, M. et al. Scalp Ulcer as First Sign of Cholangiocarcinoma. Am J Clin Dermatol 7, 387–389 (2006). https://doi.org/10.2165/00128071-200607060-00008

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