# Duodenal and cutaneous metastases from advanced rectal cancer: a rare case report

**Authors:** Jiaoling He, Yun Lin, Sikai Chen, Tingfang Zuo, Feilai Xie, Yan Zhang

PMC · DOI: 10.3389/fonc.2026.1754861 · Frontiers in Oncology · 2026-03-12

## TL;DR

A rare case of rectal cancer spreading to the duodenum and skin showed significant improvement with fruquintinib treatment.

## Contribution

Demonstrates fruquintinib's potential efficacy in rare rectal cancer metastases.

## Key findings

- Patient showed rapid regression of cutaneous lesions with fruquintinib.
- Fruquintinib may be effective for aggressive, rare rectal cancer metastases.
- Case highlights the need for targeted therapies in uncommon cancer presentations.

## Abstract

Duodenal and cutaneous metastases from rectal cancer are rare and associated with poor prognosis. This case report describes a patient with advanced rectal cancer who developed these uncommon metastases after first-line therapy. Upon treatment with fruquintinib, the patient experienced a rapid and significant regression of the cutaneous lesions, demonstrating a visible clinical response. This suggests that fruquintinib may be an effective therapeutic option for patients with such aggressive and rare metastatic disease.

## Linked entities

- **Chemicals:** fruquintinib (PubChem CID 44480399)
- **Diseases:** rectal cancer (MONDO:0006519)

## Full-text entities

- **Diseases:** cutaneous lesions (MESH:D009059), and cutaneous metastases (MESH:D009362), rectal cancer (MESH:D012004)
- **Chemicals:** fruquintinib (MESH:C000591844)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13017328/full.md

## References

22 references — full list in the complete paper: https://tomesphere.com/paper/PMC13017328/full.md

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Source: https://tomesphere.com/paper/PMC13017328