Skin and lymph node metastases of rectal adenocarcinoma
A 63 years old male patient has been suffering from adenocarcinoma of the rectum for the past 5 years. The disease is now in such a progressive stage with metastases that the patient no longer responds to the chemotherapy. A very rare form of metastases on the skin of his thighs, spreading to the skin of the inguinal regions and the region of the external male genitalia, which makes it difficult for him to move, urinate and defecate. These photos show very dry skin, covered with crusts on large areas and with large cauliflower growths of various shades of red; very fragile on contact and easily bleeding spontaneously. Some metastatic growths are covered with whitish-yellowish deposits of cellular detritus. In some places, the skin shows deep spontaneous cracks and moisture from the lymph that spontaneously comes out of the cells to the surface. The growths on the skin are of different sizes, uneven surfaces, look like popcorn conglomerates and are soft tissue components. The region of the external genitalia is covered with growths the size of a child's fist, yellowish in color, they disrupt the normal structure of the testicles, the skin of the inguinal regions and the lymph glands. The only unaffected part of the external genitalia by metastatic changes is the patient's penis. Very severe metastatic spread of primary adenocarcinoma of the rectum disrupts many of the patient's normal physiological functions.
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