Multiple cutaneous metastases of oesophageal squamous cell carcinoma that mimic keratoacanthoma  H.R. Aguiar, D.R. Calderoni, R.F. Stelini, N.A. Andreollo, P. Kharmandayan  JPRAS Open  Volume 7, Pages 27-31 (March 2016) DOI: 10.1016/j.jpra.2015.10.002 Copyright © 2015 The Authors Terms and Conditions

Figure 1 Patient with oesophageal carcinoma presenting with metastatic cutaneous lesions mimicking keratoacanthomas. JPRAS Open 2016 7, 27-31DOI: (10.1016/j.jpra.2015.10.002) Copyright © 2015 The Authors Terms and Conditions

Figure 2 Squamous cell carcinoma from oesophagus metastasized to mental region skin: no connection with the overlying epidermis which shows flattened rete ridges and no signs of in situ carcinoma. JPRAS Open 2016 7, 27-31DOI: (10.1016/j.jpra.2015.10.002) Copyright © 2015 The Authors Terms and Conditions

Figure 3 Squamous cell carcinoma from oesophagus metastasized to submental region skin: the panoramic view shows a crateriform architecture (keratoacanthoma-like) and deep extension beyond the sweat glands (a); a local lymph node is involved by the tumour, with capsule and parenquima focally compromised (b) and vascular carcinomatous embolus within nodal capsule (c). JPRAS Open 2016 7, 27-31DOI: (10.1016/j.jpra.2015.10.002) Copyright © 2015 The Authors Terms and Conditions