Cytodiagnosis of cutaneous metastasis from colonic adenocarcinoma in a young male -Report of a case with Literature Review

Metastasis can occur at any age but the incidence rises with advancing age, especially after fifth decade of life and is uncommon in young patients. Cutaneous metastases are of diagnostic importance because they may be the first manifestation of an undiscovered underlying malignancy or first indication of recurrence of a treated malignancy. Fine needle aspiration cytology (FNAC) is a simple minimally invasive rapid method for diagnosis of cutaneous metastasis in patients without any complication. It allows an immediate initial evaluation of the patient to plan an effective course of treatment. We discuss a 21 year-old patient with ascending colon adenocarcinoma who subsequently developed cutaneous metastases emphasising the role of FNAC over biopsy in diagnosing metastatic skin nodules and evaluation of cutaneous nodules.