Fine needle aspiration cytology-a boon in the diagnosis of cutaneous metastasis

Introduction: Cutaneous metastasis is an uncommon manifestation of visceral malignancy (0.8-5%) indicating a grave prognosis. Cutaneous metastasis manifests as nodules, ulceration, cellulitis or fibrotic processes. Lesions are solitary or multiple frequently found near the primary tumour. The most frequent organs presenting with cutaneous metastasis are breast, skin (melanoma), lung, colon, stomach, upper aerodigestive tract, kidney and the uterus. On histopathology, they can be classified as adenocarcinoma, squamous cell carcinoma, undifferentiated carcinoma and other miscellaneous types.Case Reports:The present series involves 3 cases of cutaneous metastasis diagnosed on FNAC. First case of osteosarcoma presenting as swelling in femoral region, second case as swelling in cervical region from cancer oesophagus and third case presented with swelling over sternum from an unknown primary. Conclusion:FNAC is the first line diagnostic procedure for diagnosis of cutaneous metastasis. It is inexpensive, simple and fast diagnostic tool confirming clinical diagnosis.

[1]  S. Giriyan,et al.  Fine needle aspiration cytology - a boon in the diagnosis of cutaneous metastasis , 2017 .

[2]  B. Alsaid,et al.  Esophageal Cancer Metastases to Unexpected Sites: A Systematic Review , 2017, Gastroenterology research and practice.

[3]  N. Bashir,et al.  Evaluation of Metastatic Cutaneous Lesions on Fine Needle Aspiration Cytology: A Five Year Study , 2017 .

[4]  S. Nath,et al.  ROLE OF FINE NEEDLE ASPIRATION CYTOLOGY (FNAC) IN THE DIAGNOSIS OF SKIN AND SUBCUTANEOUS LESIONS: A RETROSPECTIVE ANALYSIS , 2016 .

[5]  M. A. O. Ignacio,et al.  How to cite this article , 2016 .

[6]  A. Chauhan,et al.  Cutaneous metastasis as primary presentation in unsuspected carcinoma esophagus: Report of two cases. , 2015, Journal of cancer research and therapeutics.

[7]  N. Omidifar,et al.  Diagnosis of Subcutaneous Metastatic Deposits by Fine Needle Aspiration , 2012 .

[8]  R. Bansal,et al.  Cutaneous and subcutaneous metastases from internal malignancies: An analysis of cases diagnosed by fine needle aspiration , 2011, Diagnostic cytopathology.

[9]  A. Somay,et al.  CUTANEOUS METASTASES FROM GASTRIC ADENOCARCINOMA , 2011, Indian journal of dermatology.

[10]  R. Pathak,et al.  Metastatic cutaneous and subcutaneous lesions: Analysis of cases diagnosed on fine needle aspiration cytology , 2011 .

[11]  M. Kotru,et al.  Role of fine‐needle aspiration cytology in evaluation of cutaneous metastases , 2009, Diagnostic cytopathology.

[12]  Caroline C. Kim,et al.  Tumor invasion of the skin. , 2008, Dermatologic clinics.

[13]  I. Konstantinidis,et al.  Cutaneous metastasis to the face from colon adenocarcinoma. Case report , 2006, International seminars in surgical oncology : ISSO.

[14]  R. Hoda,et al.  Rosai and Ackerman???s Surgical Pathology , 2004 .

[15]  V. Reddy,et al.  Malignant cutaneous and subcutaneous abdominal wall lesions: A fine‐needle aspiration study , 1998, Diagnostic Cytopathology.

[16]  R. Schwartz,et al.  Cutaneous metastatic disease. , 1995, Journal of the American Academy of Dermatology.

[17]  R. Wilson,et al.  In pursuit of the unknown primary. , 1978, American journal of surgery.

[18]  E. Elias,et al.  Metastatic Carcinomas from Occult Primary Tumors: A Study of 254 Patients , 1977, Annals of surgery.

[19]  E. B. Helwig,et al.  Patterns of cutaneous metastasis. , 1972, Archives of dermatology.