METASTATIC SUBCUTANEOUS NODULES AS A FIRST PRESENTING COMPLAINT OF INTERNAL MALIGNANCY -A CASE REPORT

Dr. FARRUKH HASSAN; Dr. ARUNMOZHI.S

Volume : IX, Issue : V, May - 2020

METASTATIC SUBCUTANEOUS NODULES AS A FIRST PRESENTING COMPLAINT OF INTERNAL MALIGNANCY -A CASE REPORT

Dr. Farrukh Hassan, Dr. Arunmozhi. S

Abstract :

Metastasis of internal malignancy to the subcutaneous and cutaneous regions is one of the rarest entity and carries a very poor prognosis. This is because the tumor invades the skin and subcutaneous regions as a last resort after metastasizing to various internal organs. The incidence of silent invasion of a fatal visceral malignancy to skin and subcutaneous regions were found to be around 0.8% in some studies. Here is an interesting case of a middle aged man with multiple subcutaneous nodules as a first presenting complaint of unknown, asymptomatic primary internal malignancy which was later diagnosed to be onchogenic adenocarcinoma. We conclude by explaining the poor prognostic nature of the disease and the need for high degree of suspicion in the cases with atypical subcutaneous nodules with associated systemic disease.