Correspondence |

Peristomal Metastatic Adenocarcinoma of the Rectum

H. L. Greenberg, MD; Lisa Lopez, MD; David F. Butler, MD
Arch Dermatol. 2006;142(10):1361-1375. doi:10.1001/archderm.142.10.1372.
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Cutaneous metastases from colorectal adenocarcinoma most commonly present as dermal papules or nodules on the abdomen or pelvic region. We describe a 44-year-old woman who developed peristomal ulcerations at her colostomy site 6 months after resection of a rectal adenocarcinoma. The ulcerations proved to be metastatic tumor histologically.

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Figure 1.

Colostomy stoma with adjacent ulceration (arrow).

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Figure 2.

A peristomal shave biopsy specimen showing infiltration of the dermis and epidermis with glandular structures (hematoxylin-eosin, original magnification ×10).

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