PMC5224779_01
Abdominal MRI. Edema of the subcutaneous tissue of the lower abdomen (white arrow).
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CT of lower abdomen showed severe edema of the subcutaneous tissue of the lower abdomen (Fig. 1).
Photographs of our patient showing cutaneous metastasis of pancreatic adenocarcinoma in the (A) scrotum, (B) trunk, and (C) chest wall.
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However, after several months, the patient reported expansion of edema to abdominal and chest wall, as well as lumbar area, gluteal region, and lower limbs (Fig. 2).
Pathology of cutaneous metastasis. (A) Clusters of neoplastic emboli in blood vessels into subcutaneous tissue, (B) Metastatic foci in the dermis, (C) positive immunohistochemistry staining for CK7 (CK7 + ) in metastatic foci and blood vessel emboli.
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Immunochemistry was positive for CK7, CK20, CD31, MUC2, and focally CEA, suggestive of a pancreatic primary; pathology was similar to the one detected in the gallbladder and duodenum (Fig. 3).