Cutaneous metastasis of cholangiocarcinoma

AIM:To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published cases.METHODS:An extensive search was conducted in the English literature within the Pub Med database using the following keywords:cutaneous m...

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Published inWorld journal of gastroenterology : WJG Vol. 21; no. 10; pp. 3066 - 3071
Main Author Liu, Min
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 14.03.2015
Subjects
Adult
Aged
Bile Duct Neoplasms - mortality
Bile Duct Neoplasms - pathology
Bile Duct Neoplasms - therapy
Bile Ducts, Intrahepatic - pathology
Cholangiocarcinoma - mortality
Cholangiocarcinoma - secondary
Cholangiocarcinoma - therapy
Cutaneous
Female
Humans
Kaplan-Meier Estimate
Male
metastasis;Cholangiocarcinoma;Clinical
Middle Aged
Risk Factors
Sex Factors
Skin Neoplasms - mortality
Skin Neoplasms - secondary
Skin Neoplasms - therapy
Systematic Reviews
Time Factors
Treatment Outcome
Clinical characteristics
Prognosis
Pathological features
Cutaneous metastasis
Cholangiocarcinoma
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Abstract AIM:To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published cases.METHODS:An extensive search was conducted in the English literature within the Pub Med database using the following keywords:cutaneous metastasis or skin metastasis and cholangiocarcinoma or bile duct.The data of 30 patients from 21 articles from 1978 to 2014 were analyzed.Patient data retrieved from the articles included the following:age,gender,time cutaneous metastasis occurred,number of cutaneous metastases throughout life,sites of initial cutaneous metastasis,anatomic site,pathology and differentiation of cholangiocarcinoma,and immunohistochemical results of the cutaneous metastasis.The assessment of overall survival after cutaneous metastasis(OSCM) was the primary endpoint.RESULTS:The median age at diagnosis of cutaneous metastasis of cholangiocarcinoma was 60.0 years(range:35-77).This metastasis showed a predilection towards males,with a male to female ratio of 3.29.In 8 cases(27.6%),skin metastasis was the first sign of cholangiocarcinoma.Additionally,18 cases(60.0%) manifested single cutaneous metastasis,while 12 cases(40.0%) demonstrated multiple skin metastases.In 50.0% of patients,the metastasis occurred in the drainage region,while 50.0% of patients had distant cutaneous metastases.The scalp was the most frequently involved region of distant skin metastasis,occurring in 36.7% of patients.The median OSCM of cholangiocarcinoma was 4.0 mo.Patient age and cutaneous metastatic sites showed no significant relation with OSCM,while male gender and single metastasis of the skin were associated with a poorer OSCM(hazard ratio:0.168;P = 0.005,and hazard ratio:0.296;P = 0.011,respectively).CONCLUSION:The prognosis of cutaneous metastasis of cholangiocarcinoma is dismal.Both male gender and single skin metastasis are associated with a poorer OSCM.
AbstractList To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published cases.AIMTo investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published cases.An extensive search was conducted in the English literature within the PubMed database using the following keywords: cutaneous metastasis or skin metastasis and cholangiocarcinoma or bile duct. The data of 30 patients from 21 articles from 1978 to 2014 were analyzed. Patient data retrieved from the articles included the following: age, gender, time cutaneous metastasis occurred, number of cutaneous metastases throughout life, sites of initial cutaneous metastasis, anatomic site, pathology and differentiation of cholangiocarcinoma, and immunohistochemical results of the cutaneous metastasis. The assessment of overall survival after cutaneous metastasis (OSCM) was the primary endpoint.METHODSAn extensive search was conducted in the English literature within the PubMed database using the following keywords: cutaneous metastasis or skin metastasis and cholangiocarcinoma or bile duct. The data of 30 patients from 21 articles from 1978 to 2014 were analyzed. Patient data retrieved from the articles included the following: age, gender, time cutaneous metastasis occurred, number of cutaneous metastases throughout life, sites of initial cutaneous metastasis, anatomic site, pathology and differentiation of cholangiocarcinoma, and immunohistochemical results of the cutaneous metastasis. The assessment of overall survival after cutaneous metastasis (OSCM) was the primary endpoint.The median age at diagnosis of cutaneous metastasis of cholangiocarcinoma was 60.0 years (range: 35-77). This metastasis showed a predilection towards males, with a male to female ratio of 3.29. In 8 cases (27.6%), skin metastasis was the first sign of cholangiocarcinoma. Additionally, 18 cases (60.0%) manifested single cutaneous metastasis, while 12 cases (40.0%) demonstrated multiple skin metastases. In 50.0% of patients, the metastasis occurred in the drainage region, while 50.0% of patients had distant cutaneous metastases. The scalp was the most frequently involved region of distant skin metastasis, occurring in 36.7% of patients. The median OSCM of cholangiocarcinoma was 4.0 mo. Patient age and cutaneous metastatic sites showed no significant relation with OSCM, while male gender and single metastasis of the skin were associated with a poorer OSCM (hazard ratio: 0.168; P = 0.005, and hazard ratio: 0.296; P = 0.011, respectively).RESULTSThe median age at diagnosis of cutaneous metastasis of cholangiocarcinoma was 60.0 years (range: 35-77). This metastasis showed a predilection towards males, with a male to female ratio of 3.29. In 8 cases (27.6%), skin metastasis was the first sign of cholangiocarcinoma. Additionally, 18 cases (60.0%) manifested single cutaneous metastasis, while 12 cases (40.0%) demonstrated multiple skin metastases. In 50.0% of patients, the metastasis occurred in the drainage region, while 50.0% of patients had distant cutaneous metastases. The scalp was the most frequently involved region of distant skin metastasis, occurring in 36.7% of patients. The median OSCM of cholangiocarcinoma was 4.0 mo. Patient age and cutaneous metastatic sites showed no significant relation with OSCM, while male gender and single metastasis of the skin were associated with a poorer OSCM (hazard ratio: 0.168; P = 0.005, and hazard ratio: 0.296; P = 0.011, respectively).The prognosis of cutaneous metastasis of cholangiocarcinoma is dismal. Both male gender and single skin metastasis are associated with a poorer OSCM.CONCLUSIONThe prognosis of cutaneous metastasis of cholangiocarcinoma is dismal. Both male gender and single skin metastasis are associated with a poorer OSCM.
To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published cases. An extensive search was conducted in the English literature within the PubMed database using the following keywords: cutaneous metastasis or skin metastasis and cholangiocarcinoma or bile duct. The data of 30 patients from 21 articles from 1978 to 2014 were analyzed. Patient data retrieved from the articles included the following: age, gender, time cutaneous metastasis occurred, number of cutaneous metastases throughout life, sites of initial cutaneous metastasis, anatomic site, pathology and differentiation of cholangiocarcinoma, and immunohistochemical results of the cutaneous metastasis. The assessment of overall survival after cutaneous metastasis (OSCM) was the primary endpoint. The median age at diagnosis of cutaneous metastasis of cholangiocarcinoma was 60.0 years (range: 35-77). This metastasis showed a predilection towards males, with a male to female ratio of 3.29. In 8 cases (27.6%), skin metastasis was the first sign of cholangiocarcinoma. Additionally, 18 cases (60.0%) manifested single cutaneous metastasis, while 12 cases (40.0%) demonstrated multiple skin metastases. In 50.0% of patients, the metastasis occurred in the drainage region, while 50.0% of patients had distant cutaneous metastases. The scalp was the most frequently involved region of distant skin metastasis, occurring in 36.7% of patients. The median OSCM of cholangiocarcinoma was 4.0 mo. Patient age and cutaneous metastatic sites showed no significant relation with OSCM, while male gender and single metastasis of the skin were associated with a poorer OSCM (hazard ratio: 0.168; P = 0.005, and hazard ratio: 0.296; P = 0.011, respectively). The prognosis of cutaneous metastasis of cholangiocarcinoma is dismal. Both male gender and single skin metastasis are associated with a poorer OSCM.
AIM:To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published cases.METHODS:An extensive search was conducted in the English literature within the Pub Med database using the following keywords:cutaneous metastasis or skin metastasis and cholangiocarcinoma or bile duct.The data of 30 patients from 21 articles from 1978 to 2014 were analyzed.Patient data retrieved from the articles included the following:age,gender,time cutaneous metastasis occurred,number of cutaneous metastases throughout life,sites of initial cutaneous metastasis,anatomic site,pathology and differentiation of cholangiocarcinoma,and immunohistochemical results of the cutaneous metastasis.The assessment of overall survival after cutaneous metastasis(OSCM) was the primary endpoint.RESULTS:The median age at diagnosis of cutaneous metastasis of cholangiocarcinoma was 60.0 years(range:35-77).This metastasis showed a predilection towards males,with a male to female ratio of 3.29.In 8 cases(27.6%),skin metastasis was the first sign of cholangiocarcinoma.Additionally,18 cases(60.0%) manifested single cutaneous metastasis,while 12 cases(40.0%) demonstrated multiple skin metastases.In 50.0% of patients,the metastasis occurred in the drainage region,while 50.0% of patients had distant cutaneous metastases.The scalp was the most frequently involved region of distant skin metastasis,occurring in 36.7% of patients.The median OSCM of cholangiocarcinoma was 4.0 mo.Patient age and cutaneous metastatic sites showed no significant relation with OSCM,while male gender and single metastasis of the skin were associated with a poorer OSCM(hazard ratio:0.168;P = 0.005,and hazard ratio:0.296;P = 0.011,respectively).CONCLUSION:The prognosis of cutaneous metastasis of cholangiocarcinoma is dismal.Both male gender and single skin metastasis are associated with a poorer OSCM.
AIM: To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published cases. METHODS: An extensive search was conducted in the English literature within the PubMed database using the following keywords: cutaneous metastasis or skin metastasis and cholangiocarcinoma or bile duct. The data of 30 patients from 21 articles from 1978 to 2014 were analyzed. Patient data retrieved from the articles included the following: age, gender, time cutaneous metastasis occurred, number of cutaneous metastases throughout life, sites of initial cutaneous metastasis, anatomic site, pathology and differentiation of cholangiocarcinoma, and immunohistochemical results of the cutaneous metastasis. The assessment of overall survival after cutaneous metastasis (OSCM) was the primary endpoint. RESULTS: The median age at diagnosis of cutaneous metastasis of cholangiocarcinoma was 60.0 years (range: 35-77). This metastasis showed a predilection towards males, with a male to female ratio of 3.29. In 8 cases (27.6%), skin metastasis was the first sign of cholangiocarcinoma. Additionally, 18 cases (60.0%) manifested single cutaneous metastasis, while 12 cases (40.0%) demonstrated multiple skin metastases. In 50.0% of patients, the metastasis occurred in the drainage region, while 50.0% of patients had distant cutaneous metastases. The scalp was the most frequently involved region of distant skin metastasis, occurring in 36.7% of patients. The median OSCM of cholangiocarcinoma was 4.0 mo. Patient age and cutaneous metastatic sites showed no significant relation with OSCM, while male gender and single metastasis of the skin were associated with a poorer OSCM (hazard ratio: 0.168; P = 0.005, and hazard ratio: 0.296; P = 0.011, respectively). CONCLUSION: The prognosis of cutaneous metastasis of cholangiocarcinoma is dismal. Both male gender and single skin metastasis are associated with a poorer OSCM.
Author Min Liu Bai-Long Liu Bin Liu Liang Guo Qiang Wang Yan-Qiu Song Li-Hua Dong
AuthorAffiliation Department of Radiation Oncology, the First Hospital, Jilin University Department of Hand Surgery, the First Hospital, Jilin University Department of Pathology, the First Hospital, Jilin University Cancer Center, the First Hospital, Jilin University
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Keywords Clinical characteristics
Prognosis
Pathological features
Cutaneous metastasis
Cholangiocarcinoma
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Notes AIM:To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published cases.METHODS:An extensive search was conducted in the English literature within the Pub Med database using the following keywords:cutaneous metastasis or skin metastasis and cholangiocarcinoma or bile duct.The data of 30 patients from 21 articles from 1978 to 2014 were analyzed.Patient data retrieved from the articles included the following:age,gender,time cutaneous metastasis occurred,number of cutaneous metastases throughout life,sites of initial cutaneous metastasis,anatomic site,pathology and differentiation of cholangiocarcinoma,and immunohistochemical results of the cutaneous metastasis.The assessment of overall survival after cutaneous metastasis(OSCM) was the primary endpoint.RESULTS:The median age at diagnosis of cutaneous metastasis of cholangiocarcinoma was 60.0 years(range:35-77).This metastasis showed a predilection towards males,with a male to female ratio of 3.29.In 8 cases(27.6%),skin metastasis was the first sign of cholangiocarcinoma.Additionally,18 cases(60.0%) manifested single cutaneous metastasis,while 12 cases(40.0%) demonstrated multiple skin metastases.In 50.0% of patients,the metastasis occurred in the drainage region,while 50.0% of patients had distant cutaneous metastases.The scalp was the most frequently involved region of distant skin metastasis,occurring in 36.7% of patients.The median OSCM of cholangiocarcinoma was 4.0 mo.Patient age and cutaneous metastatic sites showed no significant relation with OSCM,while male gender and single metastasis of the skin were associated with a poorer OSCM(hazard ratio:0.168;P = 0.005,and hazard ratio:0.296;P = 0.011,respectively).CONCLUSION:The prognosis of cutaneous metastasis of cholangiocarcinoma is dismal.Both male gender and single skin metastasis are associated with a poorer OSCM.
Cutaneous metastasis;Cholangiocarcinoma;Clinical c
Min Liu;Bai-Long Liu;Bin Liu;Liang Guo;Qiang Wang;Yan-Qiu Song;Li-Hua Dong;Department of Radiation Oncology, the First Hospital, Jilin University;Department of Hand Surgery, the First Hospital, Jilin University;Department of Pathology, the First Hospital, Jilin University;Cancer Center, the First Hospital, Jilin University
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Author contributions: Liu M was a major contributor in writing the manuscript; Liu BL revised it critically; Liu B, Guo L, Wang Q and Song YQ contributed to data analysis; Dong L reviewed the literature, analyzed the data, and gave final approval of the paper to be submitted; all authors read and approved the final manuscript.
Telephone: +86-431-88782468 Fax: +86-431-88786172
Correspondence to: Li-Hua Dong, MD, PhD, Department of Radiation Oncology, the First Hospital, Jilin University, 71 Xinmin Street, Changchun 130021, Jilin Province, China. lijie200461@126.com
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Snippet AIM:To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published...
To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published...
AIM: To investigate the clinical characteristics and prognostic factors of cutaneous metastasis of cholangiocarcinoma by a retrospective analysis of published...
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StartPage 3066
SubjectTerms Adult
Aged
Bile Duct Neoplasms - mortality
Bile Duct Neoplasms - pathology
Bile Duct Neoplasms - therapy
Bile Ducts, Intrahepatic - pathology
Cholangiocarcinoma - mortality
Cholangiocarcinoma - secondary
Cholangiocarcinoma - therapy
Cutaneous
Female
Humans
Kaplan-Meier Estimate
Male
metastasis;Cholangiocarcinoma;Clinical
Middle Aged
Risk Factors
Sex Factors
Skin Neoplasms - mortality
Skin Neoplasms - secondary
Skin Neoplasms - therapy
Systematic Reviews
Time Factors
Treatment Outcome
Title Cutaneous metastasis of cholangiocarcinoma
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https://www.ncbi.nlm.nih.gov/pubmed/25780307
https://www.proquest.com/docview/1664444809
https://pubmed.ncbi.nlm.nih.gov/PMC4356929
Volume 21
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