Non-small cell lung cancer with distal cutaneous metastases in a patient with a previously treated colorectal carcinoma.

Abstract:

:Cutaneous manifestations of visceral carcinomas are scarce, occurring in around 0.7-12% of internal malignancies. Lung cancer is one of the most common sources of skin metastasis, particularly in male patients. We present a case of cutaneous metastasis in a man with concurrent lung lesions and a previously treated colorectal carcinoma. Immunohistochemistry markers for both skin and lung lesions were strongly positive for carcinoembryonic antigen and cytokeratin 20, suggesting an intestinal primary tumour. However, colonoscopy excluded new and metastatic bowel lesions. After multidisciplinary team meetings, which reviewed the clinical, radiological and immunohistochemistry findings, it was concluded to be a non-small cell lung cancer with skin metastasis. This case presented an interesting diagnostic challenge, and highlighted the importance of cross-specialty liaison and investigation to reach the correct diagnosis.

journal_name

Ann R Coll Surg Engl

authors

Thurston D,Hossain T,Waraich N,Shukla A

doi

10.1308/rcsann.2016.0088

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

e47-8

issue

3

eissn

0035-8843

issn

1478-7083

journal_volume

98

pub_type

杂志文章
  • Inter- and intra-observer variation of the Schatzker and AO/OTA classifications of tibial plateau fractures and a proposal of a new classification system.

    abstract:INTRODUCTION:The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS:Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X187667

    authors: Charalambous CP,Tryfonidis M,Alvi F,Moran M,Fang C,Samarji R,Hirst P

    更新日期:2007-05-01 00:00:00

  • Difficulties encountered removing locked plates.

    abstract:INTRODUCTION:Locked plates are commonly used to obtain fixation in periarticular and comminuted fractures. Their use has also gained popularity in repairing fractures in osteoporotic bone. These plates provide stable fixation and promote biological healing. Over the last 3 years, we have used over 150 locked plates wit...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13373405386411

    authors: Raja S,Imbuldeniya AM,Garg S,Groom G

    更新日期:2012-10-01 00:00:00

  • Mechanical thrombectomy for the treatment of acute ischaemic stroke following pulmonary lobectomy.

    abstract::Acute ischaemic stroke is a devastating postoperative complication that significantly impacts upon a patient's quality of life. Endovascular retrieval of thromboembolic material from proximal cerebral arteries by mechanical thrombectomy is the new standard of care for patients presenting with a proximal artery occlusi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2019.0028

    authors: Ali JM,Wolff I,Falconieri F,Aresu G,Coonar AS,Joshi Y,Peryt A

    更新日期:2019-05-01 00:00:00

  • Isolated metastatic primary peritoneal carcinoma to the breast: a rare site of disease recurrence.

    abstract::Primary breast carcinoma is a common pathology in the UK. It can present with metastatic deposits but it is rare that lesions in the breast are the sole primary or secondary presentation for metastatic cancer from other sources. We present a case of a primary peritoneal cancer recurring after optimal treatment with a...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13171221502068

    authors: Coyne PE,Kenny L,Barnes E,Westley R,Ward E,Jain M,Iwuchukwu O

    更新日期:2012-03-01 00:00:00

  • Variations in selective nerve root block technique.

    abstract:INTRODUCTION:Much literature reports on selective nerve root blocks (SNRBs) in cases of lumbosacral radiculopathy. Unfortunately, authors only inconsistently reveal the exact needle tip position relative to the causative pathology at the time of injection. Different injection sites may provide different symptomatic ben...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413X13629960048073

    authors: Eastley NC,Spiteri V,Newey ML

    更新日期:2013-10-01 00:00:00

  • Acute radiation enteritis causing small bowel obstruction.

    abstract::Although much is known about the late intestinal side effects of radiation, comparatively little has been published about its acute complications. We present a case of a small bowel obstruction due to acute radiation enteritis. As radiotherapy continues to expand its role in the management of oncological disease, cli...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/10.1308/147870811X602122

    authors: Curtis NJ,Bryant T,Raj S,Bateman AR,Mirnezami AH

    更新日期:2011-10-01 00:00:00

  • Study to assess differences in outcome following open carpal tunnel decompressions performed by surgeons of differing grade.

    abstract:INTRODUCTION:Carpal tunnel decompression is the most commonly performed surgical procedure within a hand unit. Although very effective, the complications following the procedure can be significant. In an attempt to identify the causes of such complications, we assessed whether seniority of the surgeon impacts on outcom...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X232035

    authors: Akhtar S,Sinha S,Bradley MJ,Burke FD,Wilgis SE,Dubin NH

    更新日期:2007-11-01 00:00:00

  • Surgical implications of portal venous system malformation.

    abstract::The significance of congenital abnormalities in predisposing to portal hypertension and variceal haemorrhage needs to be remembered when these effects manifest in childhood, as portal venography will permit elucidation of the complicated congenital developmental abnormalities underlying the pathological condition and ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:

    authors: Marks C

    更新日期:1974-12-01 00:00:00

  • The effects and effectiveness of electromotive drug administration and chemohyperthermia for treating non-muscle invasive bladder cancer.

    abstract:INTRODUCTION:Preliminary studies show that device assisted intravesical therapies appear more effective than passive diffusion intravesical therapy for the treatment of non-muscle invasive bladder cancer (NMIBC) in specific settings, and phase III studies are now being conducted. Consequently, we have undertaken a non-...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588414X13946184901001

    authors: Slater SE,Patel P,Viney R,Foster M,Porfiri E,James ND,Montgomery B,Bryan RT

    更新日期:2014-09-01 00:00:00

  • Inflamed solitary caecal diverticulum - it is not appendicitis, what should I do?

    abstract::We describe three cases that presented with symptoms suggestive of appendicitis but were found at operation to have an inflamed solitary caecal diverticulum. All were treated successfully with diverticulectomy or inversion of the diverticulum. We wish to highlight this diagnosis and its surgical management so that inf...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588406X149336

    authors: Connolly D,McGookin RR,Gidwani A,Brown MG

    更新日期:2006-11-01 00:00:00

  • Intravenous urography after acute urinary retention.

    abstract::The results of a 12-month prospective study of 113 patients show that intravenous urography has no place in the management of men with acute urinary retention without haematuria. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Gajraj HA,Taube M

    更新日期:1989-03-01 00:00:00

  • Is abdominal wall tenderness a useful sign in the diagnosis of non-specific abdominal pain?

    abstract::Pain arising from the abdominal wall has been implicated as a cause of non-specific abdominal pain (NSAP), and the presence of abdominal wall tenderness (AWT) has been proposed as an accurate diagnostic test for NSAP. One hundred and fifty eight patients admitted to hospital with abdominal pain were tested for the pre...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Gray DW,Dixon JM,Seabrook G,Collin J

    更新日期:1988-07-01 00:00:00

  • Closure of loop ileostomy after restorative proctocolectomy.

    abstract::The outcome of loop ileostomy closure was evaluated in 40 patients who had previously undergone restorative proctocolectomy. A standard operative technique was used which incorporated a circumstomal incision, non-resectional reconstruction and primary skin closure. Thirty-six patients (90%) enjoyed an uncomplicated re...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lewis P,Bartolo DC

    更新日期:1990-07-01 00:00:00

  • A rare and serious consequence of a rat bite.

    abstract::Contact with rat saliva or faeces can lead to infection with Streptobacillus moniliformis and the condition known as 'rat bite fever'. We report a case of septic arthritis of the hip due to this organism following a bite on the finger of a 14-year-old boy from a rat for sale in a pet shop. The case was successfully tr...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Downing ND,Dewnany GD,Radford PJ

    更新日期:2001-07-01 00:00:00

  • Parathyroid hormone-related protein, bone metastases and hypercalcaemia of malignancy.

    abstract::Breast cancer patients frequently develop bone metastases. A newly discovered peptide, Parathyroid Hormone Related Protein (PTHrP), causes humoral hypercalcaemia of malignancy. We have studied whether production of this protein by breast cancers leads to the development of bone metastases or hypercalcaemia. PTHrP was ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Bundred NJ,Walls J,Ratcliffe WA

    更新日期:1996-07-01 00:00:00

  • Penile skin necrosis - complication following selfcircumcision.

    abstract::Circumcision is one of the commonest operations performed throughout the world for ritual, traditional or medical reasons. Self-circumcision may lead to disastrous complications. There have been reports of the complications following use of the constricting devices for improved sexual performance and for auto-erotic i...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870805X50690

    authors: Sagar J,Sagar B,Shah DK

    更新日期:2005-07-01 00:00:00

  • Charles Tomes Lecture, 1979. Experience gained from treating facial injuries due to civil unrest.

    abstract::During the past 10 years of civil unrest in Northern Ireland a wide variety of facial injuries have been treated at the Royal Victoria Hospital, Belfast. The causes and nature of these injuries are described and the experience gained in their management is reviewed. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Whitlock RI

    更新日期:1981-01-01 00:00:00

  • The management of trauma victims with head injury: a study by the National Confidential Enquiry into Patient Outcome and Death.

    abstract:INTRODUCTION:In 2006 the National Confidential Enquiry into Patient Outcome and Death undertook a large prospective study of trauma care, which revealed several findings pertaining to the management of head injuries in a sample of 493 patients. METHODS:Case note data were collected for all trauma patients admitted to ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413X13511609956813

    authors: Smith NC,Findlay GP,Weyman D,Freeth H

    更新日期:2013-03-01 00:00:00

  • Pancreatic injury: an audit and a practical approach.

    abstract::Pancreatic injuries are uncommon, difficult to diagnose and there is no uniform standard for treatment. The purpose of this study was to audit the management of pancreatic injuries in our practice. Equally important is to attempt to find out a simple management plan particularly in the era of increasing conservative t...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: el-Boghdadly S,al-Yousef Z,al Bedah K

    更新日期:2000-07-01 00:00:00

  • Small bowel obstruction via herniation through an iatrogenic defect of the falciform ligament following laparoscopic cholecystectomy.

    abstract::Internal herniation of the small bowel through a defect in the falciform ligament and subsequent small bowel obstruction is exceedingly rare with the majority of previous cases being attributed to congenital abnormalities. As laparoscopic techniques approach the forefront of modern surgery, an iatrogenic source for a ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2015.0022

    authors: Dusu K,Dindyal S,Gadhvi V

    更新日期:2015-09-01 00:00:00

  • Surgical treatment of grade III gynaecomastia.

    abstract::Gross enlargement of the male breast with skin redundancy and ptosis cannot be effectively managed by subcutaneous mastectomy alone. A technique is described in which the excess breast tissue and skin are excised along a design which allows the nipple-areolar complex, mounted on a vertical deepithelialised pedicle, to...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Ward CM,Khalid K

    更新日期:1989-07-01 00:00:00

  • Aneurysm jig for anastomosis technique.

    abstract::A new jig is described which enables the technique for abdominal aortic aneurysm to be taught and practiced as it is performed by arterial surgeons at the present time. The aneurysm jig enables a plastic simulated aortic aneurysm to be opened as at operation to allow the inlaying of a Dacron tube sutured into place wi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Greenhalgh RM,Eastcott HH,Mansfield AO,Taylor DE

    更新日期:1987-09-01 00:00:00

  • How long should patients be followed-up after total hip replacement? Current practice in the UK.

    abstract::Some 1000 postcard questionnaires were sent to Fellows of the British Orthopaedic Association (BOA) to establish current follow-up practice of primary total hip replacement (THR) patients. For cemented THRs, 50% of surgeons saw their patients for under 1 year, 78% under 5 years with indefinite follow-up being performe...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Bankes MJ,Coull R,Ferris BD

    更新日期:1999-09-01 00:00:00

  • When might an operative complication be regarded as acceptable? Part 2: Judicial factors that influence the finding of fault during surgical litigation.

    abstract::In cases where surgeons face litigation over operative misadventure, the result of a trial is uncertain. In order to identify factors in cases of surgical litigation that have influenced the final decision of the courts, we have previously reviewed reported cases where the outcome turned on actions taken by surgeons. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588414X14055925060992

    authors: Wheeler R,Blackburn S,Biggs H

    更新日期:2015-04-01 00:00:00

  • Efficacy and safety of rivaroxaban thromboprophylaxis after arthroplasty of the hip or knee: retrospective cohort study.

    abstract::Introduction Venous thromboembolism (VTE) is a potentially fatal complication of hip arthroplasty and knee arthroplasty. The National Institute for Health and Care Excellence recommend rivaroxaban for VTE prevention. Amid concerns over bleeding complications, the modified thromboprophylaxis policy of Chelsea and Westm...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0197

    authors: Loganathan V,Hua A,Patel S,Gibbons C,Vizcaychipi MP

    更新日期:2016-09-01 00:00:00

  • Spontaneous resolution of a superior mesenteric vein thrombosis after laparoscopic nissen fundoplication.

    abstract::A previously fit 37-year-old man developed superior mesenteric venous thrombosis after undergoing a laparoscopic Nissen fundoplication. Despite receiving thrombo-embolic prophylaxis on postoperative day 16, he presented with a gradual onset of vague, but severe, umbilical and epigastric pains. Laboratory tests, abdomi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Davies M,Satyadas T,Akle CA

    更新日期:2002-05-01 00:00:00

  • Inaugural Sidney Werner Lecture. The surgical treatment of thyroid disease in modern perspective.

    abstract::It is timely to review the place of surgery in the treatment of thyroid disease when for some years endocrinologists, pharmacologists, and radiotherapists have made most of the running. This account falls naturally into three parts, simple, malignant, and toxic goitre. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Taylor S

    更新日期:1979-03-01 00:00:00

  • Tongue metastasis from a poorly differentiated urothelial carcinoma of the bladder.

    abstract::Chemotherapy may cause oral ulceration but a thorough investigation of symptoms and signs is important to determine the underlying diagnosis accurately. We describe a case of a patient with a poorly differentiated urothelial carcinoma of the bladder developing a tongue metastasis. This is a challenging diagnosis to ma...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X14055925060794

    authors: Kaleva AI,Hone RW,Szakacs SM,Streeter E,Nixon IJ

    更新日期:2015-03-01 00:00:00

  • Endoscopic retrograde cholangiopancreatography in the treatment of intraoperatively demonstrated choledocholithiasis.

    abstract:INTRODUCTION:The aim of this study was to determine the efficacy and complications of postoperative endoscopic retrograde cholangiopancreatography (ERCP) in confirming and treating choledocholithiasis found at intraoperative cholangiography during laparoscopic cholecystectomy. METHODS:Patients who had undergone ERCP f...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X13824511650290

    authors: Lynn AP,Chong G,Thomson A

    更新日期:2014-01-01 00:00:00

  • Ureteric stent card register - a 5-year retrospective analysis.

    abstract:INTRODUCTION:Ureteric stenting is a common urological procedure. Forgotten stents have a well-documented morbidity and mortality. Therefore, we asked the question, is a stent register an important factor in reducing the number of lost or overdue stents? PATIENTS AND METHODS:We conducted a retrospective review of 203 p...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588408X242123

    authors: Tang VC,Gillooly J,Lee EW,Charig CR

    更新日期:2008-03-01 00:00:00