皮膚転移を契機に診断された早期胃癌術後再発の１例

• 原田 栄二郎

  山口大学器官病態外科学消化器・一般外科

• 榎 忠彦

  山口大学器官病態外科学消化器・一般外科

• 野島 真治

  山口大学器官病態外科学消化器・一般外科

• 濱野 公一

  山口大学器官病態外科学消化器・一般外科

書誌事項

タイトル別名

• A CASE REPORT OF EARLY GASTRIC CANCER DEVELOPING SKIN METASTASIS WITHOUT OTHER ORGAN METASTASIS

抄録

We report the case of a 78-year-old woman with small finger tip-sized reddish nodules in the skin of her chest wall. Her past history showed total gastrectomy for gastric cancer (T1N2MO: stage2) 17 months previously. Abdominal CT showed multiple lymph node enlargement in the right supraclavicular lesion and no evidence of any other organ metastasis. The biopsy of the skin lesion demonstrated a metastatic skin cancer of papillary adenocarcinoma. Therefore, we diagnosed this lesion as skin metastasis originating from adenocarcinoma of the stomach. Chemotherapy treatment with a combina-tion of TS-1 and Paclitaxel proved ineffective, and the patient died 3 months after the diagnosis of skin metastasis. Although the primary focus showed the early stage of gastric cancer, the cancer cells progressed via lymph tract in line with the nature of the lymph invasion. Moreover, the prognosis for the skin metastasis is poor, most cases have no treatment effect, and they die within 1 year. This case also followed a similar course.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 67 (9), 2061-2065, 2006

  日本臨床外科学会

キーワード

• 早期胃癌
• 転移性皮膚腫瘍
• リンパ管侵襲

詳細情報

• CRID: 1390001204849685504
• NII論文ID: 130003605231
• NII論文ID: 10018391741
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.2061
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/9/67_9_2061/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007060261
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可