Indian Journal of Dermatology
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CASE REPORT
Year : 2018  |  Volume : 63  |  Issue : 2  |  Page : 182-185

Cutaneous metastasis leading to the diagnosis of carcinoma of the prostate: A rare case report and review of literature


1 Department of Medical and Paediatric Oncology, GCRI, Ahmedabad, Gujarat, India
2 Department of Medical Oncology, GCRI, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Apurva Ashok Patel
Department of Medical Oncology, GCRI, Ahmedabad - 380 016, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijd.IJD_7_17

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Prostate adenocarcinoma is a common urologic malignant neoplasm in man. Distant cutaneous metastases (CMs) of prostate carcinoma are extremely rare with a reported incidence of 0.36% and usually they occur late. Clinically, cutaneous metastasis of prostate carcinoma can mimic other skin conditions such as cellulitis, sebaceous cyst, zosteriform lesions, telangectasias, and more, resulting in a poor recognition. Few cases of true cutaneous metastatic prostate carcinoma exist in the literature. We present a case, where the first sign of carcinoma of the prostate was CM over the anterior abdominal wall. Radiological and histopathological confirmation pointed to a diagnosis of carcinoma of the prostate. The patient was treated with orchidectomy and was started on bicalutamide. After 1 month of bicalutamide therapy there was subjective decrease in the size of the metastasis. A high index of suspicion is required while evaluating the different differential diagnoses of this entity particularly in elderly patients.


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