Cutaneous metastasis from esophageal squamous cell carcinoma: A case report.

Case report Chemotherapy Cutaneous metastasis Esophageal carcinoma Immunological checkpoint inhibitor Squamous cell carcinoma

Journal

World journal of clinical cases
ISSN: 2307-8960
Titre abrégé: World J Clin Cases
Pays: United States
ID NLM: 101618806

Informations de publication

Date de publication:
16 May 2022
Historique:
received: 27 11 2021
revised: 27 01 2022
accepted: 16 03 2022
entrez: 6 6 2022
pubmed: 7 6 2022
medline: 7 6 2022
Statut: ppublish

Résumé

Esophageal cancer is a common cause of cancer-related death worldwide. Cutaneous metastasis of esophageal squamous cell carcinoma is rare, particularly in diffuse skin metastasis. In this case report, we describe an 82-year-old male who was diagnosed with esophageal squamous cell carcinoma. The tumor was staged as T4N3M1 (Stage IVB). The pathological findings revealed poorly differentiated squamous cell carcinoma of the esophagus. Four months after diagnosis, the patient began chemotherapy, and symptoms were relieved after four cycles of chemotherapy. After that, the patient returned home without a systematic physical examination. One year after diagnosis, the patient realized that the skin of the abdominal wall was hard and rough without pain, and the color became darker than normal skin. Thirteen months after diagnosis, a biopsy of the patient's abdominal lesion revealed that the skin metastasis was derived from the esophagus. Then the patient received two cycles of apatinib combined with docetaxel, but the abdominal lesion worsened. Two cycles of nivolumab were administered, but the patient eventually died of multiple organ failure. This report highlights cutaneous metastasis as a late and untreatable metastasis of esophageal cancer.

Sections du résumé

BACKGROUND BACKGROUND
Esophageal cancer is a common cause of cancer-related death worldwide. Cutaneous metastasis of esophageal squamous cell carcinoma is rare, particularly in diffuse skin metastasis.
CASE SUMMARY METHODS
In this case report, we describe an 82-year-old male who was diagnosed with esophageal squamous cell carcinoma. The tumor was staged as T4N3M1 (Stage IVB). The pathological findings revealed poorly differentiated squamous cell carcinoma of the esophagus. Four months after diagnosis, the patient began chemotherapy, and symptoms were relieved after four cycles of chemotherapy. After that, the patient returned home without a systematic physical examination. One year after diagnosis, the patient realized that the skin of the abdominal wall was hard and rough without pain, and the color became darker than normal skin. Thirteen months after diagnosis, a biopsy of the patient's abdominal lesion revealed that the skin metastasis was derived from the esophagus. Then the patient received two cycles of apatinib combined with docetaxel, but the abdominal lesion worsened. Two cycles of nivolumab were administered, but the patient eventually died of multiple organ failure.
CONCLUSION CONCLUSIONS
This report highlights cutaneous metastasis as a late and untreatable metastasis of esophageal cancer.

Identifiants

pubmed: 35663085
doi: 10.12998/wjcc.v10.i14.4676
pmc: PMC9125271
doi:

Types de publication

Case Reports

Langues

eng

Pagination

4676-4683

Informations de copyright

©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: The authors have no potential conflicts of interest to disclose.

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Auteurs

Rui-Yan Zhang (RY)

Department of Oncology, Wangjing Hospital, China Academy of Chinese Medicine Sciences, Beijing 100102, China.

Shi-Jie Zhu (SJ)

Department of Oncology, Wangjing Hospital, China Academy of Chinese Medicine Sciences, Beijing 100102, China.

Peng Xue (P)

Department of Oncology, Wangjing Hospital, China Academy of Chinese Medicine Sciences, Beijing 100102, China.

Sheng-Qi He (SQ)

Department of Oncology, Wangjing Hospital, China Academy of Chinese Medicine Sciences, Beijing 100102, China. heshengqi@sina.com.

Classifications MeSH