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We present an exceptional case of a patient in her mid-50s, whereby an endometrial carcinoma, defying conventional pathways, manifested on the skin and nail of her distal fourth finger, an unusual site for cutaneous metastases, with a specific histology of the primary cancer.<\/jats:p>","DOI":"10.1136\/bcr-2023-259545","type":"journal-article","created":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T03:45:22Z","timestamp":1713584722000},"page":"e259545","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["From endometrium to fingernail bed: histological evaluation of a rare cutaneous metastasis"],"prefix":"10.1136","volume":"17","author":[{"given":"Simona A","family":"Alomary","sequence":"first","affiliation":[{"name":"Dermatology, Rutgers New Jersey Medical School, Newark, New Jersey, USA"},{"name":"Dermatopathology, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Dermatology, Rutgers New Jersey Medical School, Newark, New Jersey, USA"},{"name":"Dermatopathology, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W Clark","family":"Lambert","sequence":"additional","affiliation":[{"name":"Dermatology, Rutgers New Jersey Medical School, Newark, New Jersey, USA"},{"name":"Dermatopathology, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1826-6854","authenticated-orcid":false,"given":"Albert","family":"Alhatem","sequence":"additional","affiliation":[{"name":"Dermatology, Rutgers New Jersey Medical School, Newark, New Jersey, USA"},{"name":"Dermatopathology, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,19]]},"reference":[{"key":"2025082710255622000_17.4.e259545.1","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.1001791","article-title":"Analysis of prognostic factors of metastatic endometrial cancer based on surveillance, epidemiology, and end results database","volume":"9","author":"Zhang","year":"2022","journal-title":"Front Surg"},{"key":"2025082710255622000_17.4.e259545.2","first-page":"217","article-title":"Cutaneous metastasis of endometrial carcinoma: an unusual and dramatic presentation","volume":"103","author":"Bashline","year":"2019","journal-title":"PubMed"},{"key":"2025082710255622000_17.4.e259545.3","first-page":"350","article-title":"Endometrial cancer metastasize to the skin of lower leg and vagina: case report and literature review","volume":"34","author":"Ma","year":"2018","journal-title":"PubMed"},{"key":"2025082710255622000_17.4.e259545.4","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1007\/s00292-016-0243-z","article-title":"Metastasierung von Malignomen des uterus und Therapeutische Konsequenzen","volume":"37","author":"Lax","year":"2016","journal-title":"Pathologe"},{"key":"2025082710255622000_17.4.e259545.5","doi-asserted-by":"crossref","first-page":"4","DOI":"10.15406\/acp.2018.03.00057","article-title":"Distant cutaneous metastasis of endometrial carcinoma - 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