Mohs Micrographic Surgery for Cutaneous Metastasis of Endometrial Carcinoma

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Background Cutaneous metastases of visceral malignancies are rare, difficult to treat, and portend a poor prognosis. This brief article discusses the use of Mohs micrographic surgery in a patient with cutaneous metastasis of endometrial carcinoma. Case Presentation A 72-year-old female with a history of metastatic endometrial carcinoma presented with a new tender, rapidly enlarging nodule on the scalp that was confirmed to be a cutaneous metastasis of her underlying gynecologic malignancy. She underwent Mohs micrographic surgery for palliative, cosmetic and symptomatic treatment. Surgical site healing occurred uneventfully and follow up showed no evidence of local recurrence. Discussion The case report demonstrates, that surgical excision of cutaneous metastases from visceral malignancies using the micrographic technique allows for symptomatic improvement and prevent recurrence at the surgery site. To our knowledge, this is the first reported case of a metastatic cutaneous endometrial cancer treated with Mohs micrographic surgery. Conclusion Mohs micrographic surgery can play a role in metastatic visceral cancers and should be considered as an adjunctive therapy for appropriate patients. The goal of improving quality of life in these patients should be duly balanced with the morbidity and recovery of the procedure. This report further adds to the limited body of literature supporting the use of Mohs micrographic surgery in cases of cutaneous metastases.