Scalp Metastasis in a Patient with Endometrial Adenocarcinoma / 대한피부과학회지

ABSTRACT

Cutaneous metastasis of visceral carcinomas is rare among them, endometrial carcinoma accounts for less than 1% of all cases. A 71-year-old woman with FIGO stage IIIA endometrial adenocarcinoma presented with scalp metastasis 1 month after initial radical radiotherapy. Histopathologic examination showed multiple glandular structures composed of columnar epithelial cells with foci of squamous differentiation, which were similar to primary endometrial adenocarcinoma. Metastatic evaluation revealed widespread extrapelvic metastasis in the lung, bones, and skin. Endometrial carcinoma is usually characterized by local and lymphatic spread. Rarely, extensive disease shows hematologic spread for example, to the scalp, as in this case.