Cutaneous Metastasis of Gallbladder Adenocarcinoma in a Patient with Chronic Lymphocytic Leukemia: A Case Report and Review of the Literature
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Skin metastasis of primary gallbladder tumors is extremely rare with a reported incidence of 0.7∼9% and it usually involves the thorax, abdomen, the extremities, neck, head region, and scalp. Cutaneous metastasis may occur synchronously or metatochronously. In the present case, the patient had chronic lymphocytic leukemia, which was being treated with an alkylating agent (chlorambucil) when the patient developed skin metastasis from gallbladder adenocarcinoma during post- cholecystectomy follow-up. Given the fact that secondary malignancies occur in chronic lymphocytic leukemia; this clinical setting warrants attention. We aimed to discuss secondary malignancy in chronic lymphocytic leukemia patients and gallbladder adenocarcinoma with skin metastasis, based on a review of the literature and the presented case.
Abstract
Skin metastasis of primary gallbladder tumors is extremely rare with a reported incidence of 0.7∼9% and it usually involves the thorax, abdomen, the extremities, neck, head region, and scalp. Cutaneous metastasis may occur synchronously or metatochronously. In the present case, the patient had chronic lymphocytic leukemia, which was being treated with an alkylating agent (chlorambucil) when the patient developed skin metastasis from gallbladder adenocarcinoma during post- cholecystectomy follow-up. Given the fact that secondary malignancies occur in chronic lymphocytic leukemia; this clinical setting warrants attention. We aimed to discuss secondary malignancy in chronic lymphocytic leukemia patients and gallbladder adenocarcinoma with skin metastasis, based on a review of the literature and the presented case.
참고문헌 (10)
- Chopra R, "Cutaneous metastases of internal malignancies: a clinicopathologic study", Indian J Dermatol Venereol Leprol, 76, pp.125~131 (2010)
- Nashan D, "Bruckner-Tuderman L. Cutaneous metastases of visceral tumours: a review", J Cancer Res Clin Oncol, 135, pp.1~14 (2009)
- Mukhia R, "Cutaneous metastases from carcinoma of gall bladder", JNMA J Nepal Med Assoc, 48, pp.318~320 (2009)
- Saeed S, "Cutaneous metastasis: a clinical, pathological, and immunohistochemical appraisal", J Cutan Pathol, 31, pp.419~430 (2004)
- Schoenlaub P, "Survival after cutaneous metastasis: a study of 200 cases", Ann Dermatol Venereol, 128, pp.1310~1315 (2001)
- Kaur J, "Adenocarcinoma of the gall bladder presenting with a cutaneous metastasis", Indian J Dermatol Venereol Leprol, 72, pp.64~66 (2006)
- Padilla RS, "Cutaneous metastatic adenocarcinoma of gallbladder origin", Arch Dermatol, 118, pp.515~517 (1982)
- Santoro A, "Primary malignant neoplasms associated with chronic lymphocytic leukemia", Tumori, 66, pp.431~437 (1980)
- Callea V, "Incidence of second neoplasia in patients with B-cell chronic lymphocytic leukemia treated with chlorambucil maintenance chemotherapy", Leuk Lymphoma, 47, pp.2314~2320 (2006)
- Cheson BD, "Second malignancies as a consequence of nucleoside analog therapy for chronic lymphoid leukemias", J Clin Oncol, 17, pp.2454~2460 (1999)
