Skin Metastasis of Gastric Carcinoma in a Patient with a Widespread Subcutaneous Induration of the Abdominal Wall.

DOI 10 References
  • UENOTSUCHI Takeshi
    Division of Dermatology, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
  • IMAFUKU Shinichi
    Division of Dermatology, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
  • URABE Kazunori
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • FURUE Masutaka
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University

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Other Title
  • 腹壁全体に硬結を呈した胃癌の皮膚転移の１例

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Abstract

We report the case of a 74-year-old man with widespread subcutaneous induration of the abdominal wall who had undergone a total gastrectomy 8 months before examination at our hospital. A histologic examination of a skin biopsy specimen revealed an infiltration of atypical carcinoma cells, including signet ring cells, from the dermis through subcutaneous tissue. Hyperplasia of the collagen fibers was also observed in the dermis, but there were no carcinomatous emboli in the dermal lymphatic vessels. The images of an abdominal CT scan suggested the presence of massive peritonitis carcinomatosa without any signs of lymphadenopathy or hepatic metastasis. Metastasis was thus thought to have occurred due to a direct invasion from the widespread peritonitis carcinomatosa.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 64 (2), 200-202, 2002

    Western Division of Japanese Dermatological Association

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