open access

Vol 3, No 5 (2007)
Case report
Published online: 2007-10-17
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Upper limb amputation in the course of skin metastases of rectal cancer

Sebastian Fidler, Justyna Kaj, Maciej Płochocki, Emilia Filipczyk-Cisarż, Beata Ziemba
Onkol. Prak. Klin 2007;3(5):259-262.

open access

Vol 3, No 5 (2007)
CASE REPORTS
Published online: 2007-10-17

Abstract

Skin metastases occur in 4% patients with metastatic colorectal cancer. They are interpretated as unfavourable prognostic factor. as accompanying multi-organ metastases which are more often the death cause. The authors are presenting the case of 82 years old patient qualified to pallitive chemotherapy with fluorouracyl and leucovorin due to rectal cancer metasteses to bones, lungs, and hand and lower arm skin in 4 years after radical therapy of focus primarius . The patient underwent palliative radiotherapy of bone metatstases to left arm. After first course of chemotherapy the bleeding from the skin metastases stopped and the necrosis increased. After the second chemotherapy course, the left arm amputation was done due to massive bleeding from the skin lesion. After confirming CNS metastases the brain was irradiated palliatively and the systemic therapy was finished.
Skin metastases rarely can lead to severe clinical complications (eg. death) but because of potential infections and bleeding can decrease the patients´ quality of life. Therefore not only high qualified therpay of cancer is needed but adequate symptoms managemnet as well.

Abstract

Skin metastases occur in 4% patients with metastatic colorectal cancer. They are interpretated as unfavourable prognostic factor. as accompanying multi-organ metastases which are more often the death cause. The authors are presenting the case of 82 years old patient qualified to pallitive chemotherapy with fluorouracyl and leucovorin due to rectal cancer metasteses to bones, lungs, and hand and lower arm skin in 4 years after radical therapy of focus primarius . The patient underwent palliative radiotherapy of bone metatstases to left arm. After first course of chemotherapy the bleeding from the skin metastases stopped and the necrosis increased. After the second chemotherapy course, the left arm amputation was done due to massive bleeding from the skin lesion. After confirming CNS metastases the brain was irradiated palliatively and the systemic therapy was finished.
Skin metastases rarely can lead to severe clinical complications (eg. death) but because of potential infections and bleeding can decrease the patients´ quality of life. Therefore not only high qualified therpay of cancer is needed but adequate symptoms managemnet as well.
Get Citation

Keywords

colorectal cancer; skin metastases; amputation

About this article
Title

Upper limb amputation in the course of skin metastases of rectal cancer

Journal

Oncology in Clinical Practice

Issue

Vol 3, No 5 (2007)

Article type

Case report

Pages

259-262

Published online

2007-10-17

Bibliographic record

Onkol. Prak. Klin 2007;3(5):259-262.

Keywords

colorectal cancer
skin metastases
amputation

Authors

Sebastian Fidler
Justyna Kaj
Maciej Płochocki
Emilia Filipczyk-Cisarż
Beata Ziemba

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