Oral Capecitabine Achieves Response in Metastatic Eccrine Carcinoma

Figure 3

Progression of disease 18 months after starting capecitabine treatment. Axial postcontrast CT of the pelvis (a) shows increased size of a centrally necrotic left external chain lymph node, measuring 2.2 × 1.7 cm (white arrow). Postcontrast sagittal T1 MRI (b) and noncontrast coronal FLAIR MRI (d) of the brain show a new rim enhancing 1.2 cm metastasis in the right posterior parietal lobe with surrounding edema (white arrows). Coronal postcontrast CT of the chest and abdomen (c) shows new right pleural metastasis (arrows), mediastinal and hilar lymph node (L), and left lateral chest wall soft tissue (S) metastases, as well as an enlarging right lower lobe pulmonary metastasis (P) and right adrenal metastasis superimposed on an existing adrenal adenoma (A).

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