A CASE OF EARLY GASTRIC CANCER ASSOCIATED WITH ERYTHROERMA

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  • 紅皮症に合併した早期胃癌の1例

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Abstract

This paper describes a case of early gastric cancer presenting with erythroderma in a 78-year-old man whose erythroderma was relived after a radical operation for the cancer. In 1986, the patient was admitted to the department of dermatology in our hospital because of general eruption, and was treated with a diagnosis of erythroderma. He was suspected of having any gastrointestinal malignancy, but a series of examination indicated no malignancy. The drug regimen was continued therafter, but his skin condition grew worse. The patient was readmitted to the hospital in January 1991, when he was found out to have an early cancer in the posterior wall of the gastric body by close examination. A distal partial gastrectomy was performed in April 2, 1991. Resected specimen showed a IIa+IIc type lesion measuring 2.0×2.0 cm in diameter. Histologically it was well differentiated adenocarcinoma remained in the mucosal lauyer and the histological staging was stage Ia. On the next day of the operation, his sense of itching disappeared and the degree of redness of the skin reduced gradually. The patient was discharged from the hospital on the 32nd day after the operation, and is followed up without any medication. There has been no recurrence sign of erythroderma during these 5 years.

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