RT Journal Article
SR Electronic
T1 Cutaneous Lesion of the Nose as Initial Presentation of Esophageal Adenocarcinoma
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 2485
OP 2488
DO 10.21873/anticanres.15025
VO 41
IS 5
A1 AARON HAAG
A1 DEANNA HUFFMAN
A1 CHELSEA PETERSON
A1 KARTHIK SHANKAR
A1 LYNNA ALNIMER
A1 YAZAN SAMHOURI
A1 LARISA GREENBERG
YR 2021
UL http://ar.iiarjournals.org/content/41/5/2485.abstract
AB Background/Aim: Cutaneous manifestations of disease are exceedingly rare and commonly overlooked in clinical practice. Allergies or contact dermatitis, autoimmune disease or skin cancer are the most common conditions typically associated with skin lesions. Rarely, cutaneous lesions may be the first sign of internal malignancy, or even resemble recurrent disease in those with history of cancer. Case Report: Herein, we report a case of an otherwise healthy male who presented to his primary care provider (PCP) with a skin lesion misdiagnosed as a furuncle, which eventually led to diagnosis of metastatic esophageal cancer. The patient was a 64-year-old male, presenting with a fungating lesion on the tip of his nose which was biopsied, confirming adenocarcinoma likely from a gastrointestinal source. Staging imaging showed extensive lung, liver, and boney metastatic disease. He was initially treated with chemotherapy and trastuzumab. Conclusion: Cutaneous lesions are a rare presenting sign of malignancy, but rapidly growing lesions should be evaluated for possible metastatic disease.