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On examination, multiple erythematous-violaceous nodules of hard consistency were observed, with agminated (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b) thickened tortuous vessels on the surface (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a). With the suspicion of cutaneous metastases, an incisional biopsy was performed in one of the lesions, which confirmed the presumptive diagnosis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c). A chest-abdomen-pelvis CT extension study revealed lymph node and retroperitoneal spread. The patient died three months later.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The incidence of cutaneous metastases from urologic malignancies is 0.73–1.3%, with renal carcinoma being the most commonly involved, followed by bladder carcinoma. Its typical locations are the trunk and the craniofacial region, and it can manifest in a wide variety of forms, with the nodular form being the most common. They are usually metachronous lesions with respect to the primary tumour, with a mean survival of three months from diagnosis. The histological and immunohistochemical study is decisive for the diagnosis. There is no standard treatment protocol, although surgical removal is accepted if the skin is the only metastatic focus.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">This article has not received any type of funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Casti ñeiras González J, Olmos Nieva C, Rodríguez Prieto MA. Metástasis cutáneas agminadas de origen urológico. 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Journal Information
Vol. 156. Issue 11.
Pages 585 (June 2021)
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Vol. 156. Issue 11.
Pages 585 (June 2021)
Image in medicine
Agminated cutaneous metastases of urologic origin
Metástasis cutáneas agminadas de origen urológico
Jose Castiñeiras González
, Claudia Olmos Nieva, Manuel Ángel Rodríguez Prieto
Corresponding author
Servicio de Dermatología, Complejo Asistencial Universitario de León, León, Spain
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