case_images: PMC3318779_01
case_images: Multiple, erythematous, lesions of varying size present on the skin of the left lower extremity.
case_images: CRIM2012-989104.001.jpg
case_images: PMC3318779_01_CRIM2012-989104.001.jpg
case_images: fig1
case_images: Physical examination was remarkable for multiple, shiny, immobile, erythematous, follicular papules ranging from 1 to 5 millimeters in size on his bilateral lower extremities (Figures 1 and 2).
case_images: Erythematous follicular papules sometimes coalescing and forming nodules on the patient's right lower extremity.
case_images: CRIM2012-989104.002.jpg
case_images: PMC3318779_01_CRIM2012-989104.002.jpg
case_images: fig2
case_images: Physical examination was remarkable for multiple, shiny, immobile, erythematous, follicular papules ranging from 1 to 5 millimeters in size on his bilateral lower extremities (Figures 1 and 2).
case_images: Hematoxylin and eosin staining of a 4 millimeter papule on the right lower extremity. Note the glandular structure of metastatic adenocarcinoma (arrow) with a desmoplastic reaction in surrounding tissue of the dermis (arrowhead).
case_images: CRIM2012-989104.003.jpg
case_images: PMC3318779_01_CRIM2012-989104.003.jpg
case_images: fig3
case_images: Histopathologic evaluation of the biopsy revealed the presence of glandular structures suggesting metastatic adenocarcinoma consistent with a primary colon cancer, with a desmoplastic reaction in surrounding tissue of the dermis (Figure 3).