Skin metastasis from rectal carcinoma.A 74-year old man who presented to the hematologists with a
sideroblastic anaemia. The haematologists asked for an endoscopy and
colonscopy. Found to have a rectal neoplasm, which was seen as a
stenosing lesion of the upper rectum/sigmoid. He underwent an anterior resection for a Dukes' stage C carcinoma. Given adjuvant chemotherapy.
Presented two years later with a painless swelling under his left jaw, which had been present for two months. This was biopsied and shown to be a metastatic adenocarcinoma - presumeably from the colon cancer.
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