Zosteriform Cutaneous Metastases: A Literature Meta‐Analysis and a Clinical Report of Three Melanoma Cases
BACKGROUND Despite frequent skin involvement with solid tumors, zosteriform metastases are a rare, not well‐defined entity, with only few cases published in literature. The unifying characteristic is merely topographic: cutaneous lesions were distributed along dermatomes, despite the variety of clin...
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| Veröffentlicht in: | Dermatologic surgery 2009-09, Vol.35 (9), p.1355-1363 |
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| creator | SAVOIA, PAOLA FAVA, PAOLO DEBOLI, TOMMASO QUAGLINO, PIETRO BERNENGO, MARIA GRAZIA |
| description | BACKGROUND
Despite frequent skin involvement with solid tumors, zosteriform metastases are a rare, not well‐defined entity, with only few cases published in literature. The unifying characteristic is merely topographic: cutaneous lesions were distributed along dermatomes, despite the variety of clinical features, including vesicobullous, papular, and nodular lesions. Several theories have been proposed to explain the pathogenetic mechanism of zosteriform dissemination, even if none was adequately proved.
OBJECTIVE
In this article, we report three new cases of patients with melanoma with skin zosteriform metastases and present a meta‐analysis of literature data.
METHODS AND MATERIALS
We collected all Entrez‐PubMed articles about zosteriform skin metastasis since 1970 and reviewed 56 cases, including our own taken from a 4,774‐patient series.
RESULTS
The histotypes mainly implicated were melanoma (18%); lymphoma (14%); breast cancer (12%); squamous cell carcinoma (12%); and digestive (10.7%), respiratory (10.7%), and urinary tumors (7%), with other histotypes accounting for 14%. In only one case in our series did we describe a typical herpetiform pattern, whereas in the others we found papulonodular lesions with a dermatomeric distribution.
CONCLUSION
Cutaneous metastases with zosteriform pattern are rare and show a wide clinicopathologic spectrum that could affect the disease course. |
| doi_str_mv | 10.1111/j.1524-4725.2009.01241.x |
| format | Article |
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Despite frequent skin involvement with solid tumors, zosteriform metastases are a rare, not well‐defined entity, with only few cases published in literature. The unifying characteristic is merely topographic: cutaneous lesions were distributed along dermatomes, despite the variety of clinical features, including vesicobullous, papular, and nodular lesions. Several theories have been proposed to explain the pathogenetic mechanism of zosteriform dissemination, even if none was adequately proved.
OBJECTIVE
In this article, we report three new cases of patients with melanoma with skin zosteriform metastases and present a meta‐analysis of literature data.
METHODS AND MATERIALS
We collected all Entrez‐PubMed articles about zosteriform skin metastasis since 1970 and reviewed 56 cases, including our own taken from a 4,774‐patient series.
RESULTS
The histotypes mainly implicated were melanoma (18%); lymphoma (14%); breast cancer (12%); squamous cell carcinoma (12%); and digestive (10.7%), respiratory (10.7%), and urinary tumors (7%), with other histotypes accounting for 14%. In only one case in our series did we describe a typical herpetiform pattern, whereas in the others we found papulonodular lesions with a dermatomeric distribution.
CONCLUSION
Cutaneous metastases with zosteriform pattern are rare and show a wide clinicopathologic spectrum that could affect the disease course.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1111/j.1524-4725.2009.01241.x</identifier><identifier>PMID: 19508408</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy ; Dermatology ; Diagnosis, Differential ; Fatal Outcome ; Herpes Zoster - diagnosis ; Humans ; Male ; Medical sciences ; Melanoma - diagnosis ; Melanoma - secondary ; Meta-Analysis as Topic ; Middle Aged ; Skin Neoplasms - diagnosis ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tumors of the skin and soft tissue. Premalignant lesions</subject><ispartof>Dermatologic surgery, 2009-09, Vol.35 (9), p.1355-1363</ispartof><rights>2009 by the American Society for Dermatologic Surgery, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3876-dc5d603150685bcb5a84e9a0181b93a8fa2136ccbe5b091a35702768effa6b3f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1524-4725.2009.01241.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1524-4725.2009.01241.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21939309$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19508408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SAVOIA, PAOLA</creatorcontrib><creatorcontrib>FAVA, PAOLO</creatorcontrib><creatorcontrib>DEBOLI, TOMMASO</creatorcontrib><creatorcontrib>QUAGLINO, PIETRO</creatorcontrib><creatorcontrib>BERNENGO, MARIA GRAZIA</creatorcontrib><title>Zosteriform Cutaneous Metastases: A Literature Meta‐Analysis and a Clinical Report of Three Melanoma Cases</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>BACKGROUND
Despite frequent skin involvement with solid tumors, zosteriform metastases are a rare, not well‐defined entity, with only few cases published in literature. The unifying characteristic is merely topographic: cutaneous lesions were distributed along dermatomes, despite the variety of clinical features, including vesicobullous, papular, and nodular lesions. Several theories have been proposed to explain the pathogenetic mechanism of zosteriform dissemination, even if none was adequately proved.
OBJECTIVE
In this article, we report three new cases of patients with melanoma with skin zosteriform metastases and present a meta‐analysis of literature data.
METHODS AND MATERIALS
We collected all Entrez‐PubMed articles about zosteriform skin metastasis since 1970 and reviewed 56 cases, including our own taken from a 4,774‐patient series.
RESULTS
The histotypes mainly implicated were melanoma (18%); lymphoma (14%); breast cancer (12%); squamous cell carcinoma (12%); and digestive (10.7%), respiratory (10.7%), and urinary tumors (7%), with other histotypes accounting for 14%. In only one case in our series did we describe a typical herpetiform pattern, whereas in the others we found papulonodular lesions with a dermatomeric distribution.
CONCLUSION
Cutaneous metastases with zosteriform pattern are rare and show a wide clinicopathologic spectrum that could affect the disease course.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Fatal Outcome</subject><subject>Herpes Zoster - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melanoma - diagnosis</subject><subject>Melanoma - secondary</subject><subject>Meta-Analysis as Topic</subject><subject>Middle Aged</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUuO1DAQhiMEYh5wBeQN7BLKr8RBYtFqYEBqhAQzGzZWxe2o0zhxYyea6R1H4IycBGc6Grb4IZdU319l_84yQqGgabzeF1QykYuKyYIB1AVQJmhx9yg7f0g8TjFUZQ6SsrPsIsY9JKrm8DQ7o7UEJUCdZ-67j6MNXetDT9bTiIP1UySf7YgxLRvfkBXZdAnBcQr2PvHn1-_VgO4Yu0hw2BIka9cNnUFHvtqDDyPxLbneBTvjDgffJ2Ku9Sx70qKL9vlyXmY3H95frz_mmy9Xn9arTW64SjfeGrktgVMJpZKNaSQqYWsEqmhTc1QtMspLYxorG6gpclkBq0pl2xbLhrf8Mnt1qnsI_udk46j7Lhrr3Ol1uqxKQYXiCVQn0AQfY7CtPoSux3DUFPTstN7r2VA9G6pnp_W90_ouSV8sPaamt9t_wsXaBLxcAIzJmjbgYLr4wDFa8_QZdeLEibv1Ltkcf7jp1ga9s-jGnQYAwSqm8rl5mgB52lAm2dtF1jl7_O9763ffbuaI_wVK0ao2</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>SAVOIA, PAOLA</creator><creator>FAVA, PAOLO</creator><creator>DEBOLI, TOMMASO</creator><creator>QUAGLINO, PIETRO</creator><creator>BERNENGO, MARIA GRAZIA</creator><general>Blackwell Publishing Inc</general><general>by the American Society for Dermatologic Surgery, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200909</creationdate><title>Zosteriform Cutaneous Metastases: A Literature Meta‐Analysis and a Clinical Report of Three Melanoma Cases</title><author>SAVOIA, PAOLA ; FAVA, PAOLO ; DEBOLI, TOMMASO ; QUAGLINO, PIETRO ; BERNENGO, MARIA GRAZIA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3876-dc5d603150685bcb5a84e9a0181b93a8fa2136ccbe5b091a35702768effa6b3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Dermatology</topic><topic>Diagnosis, Differential</topic><topic>Fatal Outcome</topic><topic>Herpes Zoster - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melanoma - diagnosis</topic><topic>Melanoma - secondary</topic><topic>Meta-Analysis as Topic</topic><topic>Middle Aged</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Skin plastic surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAVOIA, PAOLA</creatorcontrib><creatorcontrib>FAVA, PAOLO</creatorcontrib><creatorcontrib>DEBOLI, TOMMASO</creatorcontrib><creatorcontrib>QUAGLINO, PIETRO</creatorcontrib><creatorcontrib>BERNENGO, MARIA GRAZIA</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAVOIA, PAOLA</au><au>FAVA, PAOLO</au><au>DEBOLI, TOMMASO</au><au>QUAGLINO, PIETRO</au><au>BERNENGO, MARIA GRAZIA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Zosteriform Cutaneous Metastases: A Literature Meta‐Analysis and a Clinical Report of Three Melanoma Cases</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2009-09</date><risdate>2009</risdate><volume>35</volume><issue>9</issue><spage>1355</spage><epage>1363</epage><pages>1355-1363</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUND
Despite frequent skin involvement with solid tumors, zosteriform metastases are a rare, not well‐defined entity, with only few cases published in literature. The unifying characteristic is merely topographic: cutaneous lesions were distributed along dermatomes, despite the variety of clinical features, including vesicobullous, papular, and nodular lesions. Several theories have been proposed to explain the pathogenetic mechanism of zosteriform dissemination, even if none was adequately proved.
OBJECTIVE
In this article, we report three new cases of patients with melanoma with skin zosteriform metastases and present a meta‐analysis of literature data.
METHODS AND MATERIALS
We collected all Entrez‐PubMed articles about zosteriform skin metastasis since 1970 and reviewed 56 cases, including our own taken from a 4,774‐patient series.
RESULTS
The histotypes mainly implicated were melanoma (18%); lymphoma (14%); breast cancer (12%); squamous cell carcinoma (12%); and digestive (10.7%), respiratory (10.7%), and urinary tumors (7%), with other histotypes accounting for 14%. In only one case in our series did we describe a typical herpetiform pattern, whereas in the others we found papulonodular lesions with a dermatomeric distribution.
CONCLUSION
Cutaneous metastases with zosteriform pattern are rare and show a wide clinicopathologic spectrum that could affect the disease course.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>19508408</pmid><doi>10.1111/j.1524-4725.2009.01241.x</doi><tpages>9</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Biological and medical sciences Biopsy Dermatology Diagnosis, Differential Fatal Outcome Herpes Zoster - diagnosis Humans Male Medical sciences Melanoma - diagnosis Melanoma - secondary Meta-Analysis as Topic Middle Aged Skin Neoplasms - diagnosis Skin plastic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tumors of the skin and soft tissue. Premalignant lesions |
| title | Zosteriform Cutaneous Metastases: A Literature Meta‐Analysis and a Clinical Report of Three Melanoma Cases |
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