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Canadian Journal of Gastroenterology
Volume 19, Issue 11, Pages 673-676
http://dx.doi.org/10.1155/2005/536547
Brief Communication

Skin Metastasis from an Occult Esophageal Adenocarcinoma

F Fereidooni,1 K Kovacs,2 MR Azizi,1 and M Nikoo3

1Pathology Department, Cancer Institute, Tehran University of Medical Sciences, and Shahriar Hospital, Pathology Laboratory, Tehran, Iran
2Division of Pathology, Department of Laboratory Medicine and Pathology, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
3Division of Cardiology, Department of Laboratory Medicine and Pathology, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada

Received 19 April 2005; Accepted 19 May 2005

Copyright © 2005 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Metastases to the skin from carcinoma arising in other organs are uncommon, yet they may be the first presentation of neoplastic disease. They usually originate from primary tumours in the breast, lung or colon. Skin metastases from esophageal adenocarcinoma are extremely rare. A unique case of an otherwise healthy patient who presented with a small, painless, mobile, clinically localized facial skin nodule is reported. A biopsy revealed metastatic adenocarcinoma, and subsequent investigations detected the primary tumour in the esophagus, despite no symptoms.