Cutaneous metastasis from pancreatic adenocarcinoma: a case report and a review of the literature.

Authors:
  • HTHideya Takeuchi
    Hideya Takeuchi
  • TKToyokazu Kawano
    Toyokazu Kawano
  • TTTomohiro Toda
    Tomohiro Toda
  • YMYoshikazu Minamisono
    Yoshikazu Minamisono
  • SNSusumu Nagasaki
    Susumu Nagasaki
  • TYTakashi Yao
    Takashi Yao
  • KSKeizo Sugimachi
    Keizo Sugimachi
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  • 13 March 2003
    • journal article
    • case report
Abstract
We treated a 77-year-old Japanese man with cutaneous metastases from pancreatic adenocarcinoma. Physical examinations revealed reddish, non-tender and firm nodules in left axilla. Laboratory examination showed a remarkable elevation in the tumor markers of CA 19-9, DUPAN-2 and SPAN-1. Abdominal computed tomography showed a low-density mass in the tail of the pancreas, and histological examination of nodule in the axilla revealed a metastatic adenocarcinoma. The immunohistochemistry of CA 19-9 in the excised nodule was positive. Cutaneous metastasis from pancreatic adenocarcinoma is usually rare, and the prognosis is poor, as the disease is usually advanced.