Abstract
Case 1: An 86-year-old woman had a tumor on her left leg. One year after the tumor was excised, left inguinal lymph node metastasis appeared. Case 2: An 83-year-old man had a tumor on his right chest excised. Four years later, right axillary lymph node and right chest skin metastases developed. Case 3: A 78-year-old man was suffering from a tumor on his right waist for ten years and noticed a right inguinal lymph node swelling recently. Eight cases of EPC have been recorded in our department during the six years from 1999 to 2004. Among them, these three cases showed lymph node metastasis. In terms of treatment, radiation therapy was successful for the metastasis in case 1. Since chemotherapy is inefficient for EPC and many of the EPC patients are elderly people, radiation therapy may be a feasible choice for treatment. [Skin Cancer (Japan) 2005; 20: 306-310]
