2017
DOI: 10.1093/jscr/rjx083
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Cutaneous presentation of gastrointestinal adenocarcinoma

Abstract: Seeding of a central nervous system malignancy to the abdominal cavity is an uncommon but well documented complication of a ventriculoperitoneal (VP) shunt. However, the metastasis of a primary gastrointestinal cancer to the skin via a VP shunt is extremely rare. We report the clinical case of an 85-year-old male who presented with a right upper quadrant nodule over his shunt, which on histopathology and tumour marker profile was diagnosed as an adenocarcinoma of likely upper gastrointestinal origin. This case… Show more

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“…Reports of VP shunt-related metastasis due to malignancy of intra-abdominal organs are extremely rare. There are only four cases reported in the literature, which are metastases of pancreatic carcinoma [ 5 ], ovarian carcinoma [ 6 ], gastrointestinal adenocarcinoma (suspected upper gastrointestinal origin) [ 7 ], and gallbladder adenocarcinoma [ 8 ], respectively ( Table 1 ). Abdominal wall lesions were present in three of the cases, and only one case of ovarian carcinoma had intraventricular metastasis.…”
Section: Discussionmentioning
confidence: 99%
“…Reports of VP shunt-related metastasis due to malignancy of intra-abdominal organs are extremely rare. There are only four cases reported in the literature, which are metastases of pancreatic carcinoma [ 5 ], ovarian carcinoma [ 6 ], gastrointestinal adenocarcinoma (suspected upper gastrointestinal origin) [ 7 ], and gallbladder adenocarcinoma [ 8 ], respectively ( Table 1 ). Abdominal wall lesions were present in three of the cases, and only one case of ovarian carcinoma had intraventricular metastasis.…”
Section: Discussionmentioning
confidence: 99%
“…7 In the reported cases, migration of neoplastic cells occurred A similar case of gastrointestinal adenocarcinoma with cutaneous metastases along the tract of a VP shunt has been recently reported. 10 Besides its rarity, the main interest of the present case is the fact that neoplastic cell probably migrated upward along the external catheter surface and implanted in the skin.…”
mentioning
confidence: 84%