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VIGNETTES
Peristomal Metastatic Adenocarcinoma of the Rectum
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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.
Report of a Case
A 44-year-old woman was referred for superficial ulcerations occurring adjacent to a colostomy stoma. Six months previously, she had undergone an abdominoperineal resection for a rectal adenocarcinoma (stage I, T2 N0 M0). The resected sigmoid colon, rectum, and anus revealed a 3-cm tumor superficially invading the muscularis propria with margins of resection and 8 perirectal lymph nodes negative for tumor.
Two months after surgery, the patient noted painful, peristomal, violaceous papules that rapidly broke down to form superficial exudative ulcers. Initial therapies prior to dermatologic evaluation included dermal wound cleanser, nystatin powder, compresses of acetic acid with aluminum acetate, calcium alginate dressings, . . . [Full Text of this Article]
Comment
AUTHOR INFORMATION
H. L. Greenberg, MD;
Lisa Lopez, MD;
David F. Butler, MD
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