2019 Volume 44 Issue 2 Pages 238-243
The patient was a 69-year-old female with cecal cancer, with a single subcutaneous metastasis. After the operation for the cecal cancer and nonmalignant tumors of the uterus and ovaries, the patient received 8 courses of capecitabine alone. One year eleven months later, a subcutaneous tumor appeared in the left anterior chest wall. It was a slow-growing tumor, and we performed complete resection of this tumor two years four months after the first operation. Histopathological examination of the resected specimen revealed the diagnosis of subcutaneous metastasis from the cecal cancer. After the second operation, no chemotherapy was administered, and the patient remains alive at one year. Skin and subcutaneous metastases from visceral cancers appear to be a part of systemic metastasis in cases of advanced cancer. The prognosis is generally poor, although cases of long-term survival have been reported. Reported herein is one of those patients that showed prolonged survival after surgical resection. We think that the patient will hopefully show a good prognosis as the lesion was a single skin or subcutaneous metastasis that was slow-growing.
