Cutaneous metastases as an initial manifestation of visceral well-differentiated neuroendocrine tumor: A report of four cases and a review of literature Journal Article


Authors: Jedrych, J.; Busam, K.; Klimstra, D. S.; Pulitzer, M.
Article Title: Cutaneous metastases as an initial manifestation of visceral well-differentiated neuroendocrine tumor: A report of four cases and a review of literature
Abstract: Well-differentiated neuroendocrine tumors metastasize to the skin uncommonly, and only 35 cases are reported in the literature. In only five of these patients, cutaneous metastases were the presenting symptom of malignancy; herein, we report four such cases. Two patients were female and two male, aged 50-74 years (mean: 64.5 years), each with a solitary painless, slowly enlarging, non-ulcerated cutaneous nodule of 3-12 months duration (mean: 9 months). The lesions were on the scalp (n = 3) and trunk (n = 1), and ranged in greatest dimension from 0.5 to 2.5 cm. The distinction from other microscopically similar entities, and the interpretation of origination from gastrointestinal, pancreatic or respiratory system primaries, was made clinically, or was based on the morphological features and the immunohistochemical profile. One patient died of the disease progression after 36 months whereas two patients are alive with significant disease progression after 24 and 60 months. Metastatic neuroendocrine tumor should be considered in the differential diagnosis of cutaneous tumors with neuroendocrine morphology even in patients with no known history of visceral malignancy. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Keywords: neuroendocrine tumor; carcinoid; skin metastasis
Journal Title: Journal of Cutaneous Pathology
Volume: 41
Issue: 2
ISSN: 0303-6987
Publisher: John Wiley & Sons  
Date Published: 2014-02-01
Start Page: 113
End Page: 122
Language: English
DOI: 10.1111/cup.12263
PROVIDER: scopus
PUBMED: 24218988
PMCID: PMC5125088
DOI/URL:
Notes: Export Date: 3 March 2014 -- CODEN: JCUPB -- Source: Scopus
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  1. Melissa P Pulitzer
    203 Pulitzer
  2. David S Klimstra
    978 Klimstra
  3. Klaus J Busam
    688 Busam