1.
Ir J Med Sci
; 179(4): 605-6, 2010 Dec.
Artigo
em Inglês
| MEDLINE
| ID: mdl-20734157
RESUMO
INTRODUCTION: The liver and biliary tree are common sites of initial metastasis for many primary tumors. However, we recently encountered a patient who presented with biliary-tree tumor encasement as a first metastasis from squamous carcinoma of the anus. METHODS: To our knowledge, this has not been previously described in the literature. CONCLUSIONS: As obstructive jaundice is a relatively common presenting sign in the emergency room and in general surgical clinics, we thus recommend early consideration of metastatic disease as a differential diagnosis in patients post-chemoradiotherapy for anal carcinoma who present with obstructive jaundice.