Cutaneous Metastasis at a Surgical Drain Site after Gastric Cancer Resection

Karayiannakis, Anastasios J.; Bolanaki, Helen; Tsalikidis, Christos; Simopoulos, Constantinos

doi:10.1159/000323559

Cited by 10 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We searched the PubMed database for reports of cases undergoing surgical resection of cutaneous metastasis from gastric cancer using with the keywords “gastric cancer,” “resection,” and “cutaneous metastasis.” Six cases were found (Table 1) [7, 8, 9, 10, 11, 12]. Five out of 7 patients, including ours, lived longer than 3 years after resection of the cutaneous metastasis, indicating a benefit from the surgical intervention.…”

Section: Discussionmentioning

confidence: 75%

Late Cutaneous Metastasis Originating from Gastric Cancer with Synchronous Metastasis

Koyama

Maeda

Minagawa

et al. 2019

Case Rep Gastroenterol

View full text Add to dashboard Cite

An 89-year-old man was diagnosed with late cutaneous metastasis in the right axilla 6 years after undergoing a surgery for gastric cancer with synchronous cutaneous metastasis in the same site. The patient became aware of small reddish nodules in the right axilla, and computed tomography imaging showed an irregular thickening of the right axillary skin. No other sign of recurrence was observed. By en-bloc resection, the nodules were diagnosed as late cutaneous metastasis from gastric cancer. The patient received no additional postoperative chemo- or radiotherapy and was only carefully observed. Cutaneous metastases from gastric cancer have a high recurrence rate even if total resection with no residual cancer is achieved. Therefore, meticulous follow-up, including routine visual inspection, is required for the early detection of late cutaneous metastases.

show abstract

Section: Discussionmentioning

confidence: 75%

Late Cutaneous Metastasis Originating from Gastric Cancer with Synchronous Metastasis

Koyama

Maeda

Minagawa

et al. 2019

Case Rep Gastroenterol

View full text Add to dashboard Cite

show abstract

“…The skin metastatic lesions have no specific appearance; they may present as cutaneous nodules, ulcers or persistent inflammatory lesions. 2 Clinically the differential diagnosis in the presented case may include bacterial infected lesion, foreign body granuloma and hypertrophic scar. The long permanence of percutaneous drains can be a risk in developing cutaneous metastasis at the drainage site, but this event is rare.…”

Section: Discussionmentioning

confidence: 87%

An Iatrogenic Metastasis

Takashima

Okubo

Ota

2015

The American Journal of Medicine

View full text Add to dashboard Cite

“…We searched the PubMed database for earlier case reports treated by surgical excision of subcutaneous metastasis due to gastric cancer using the key words "gastric cancer, " "cutaneous metastasis, " "subcutaneous metastasis, " and "skin metastasis. " We found six subcutaneous metastasis cases without any other synchronous metastases after curative gastrectomy (Table 3) [22][23][24][25][26][27]. The median age was 68 years (range 60-89 years).…”

Section: Discussionmentioning

confidence: 99%

Metachronous port site, muscular and subcutaneous metastases from a gastric adenocarcinoma: a case report and review of articles

et al. 2021

View full text Add to dashboard Cite

Background Port site metastasis (PSM) after curative gastrectomy for gastric cancer and muscular metastasis from gastric cancer are rare manifestations. Similarly, subcutaneous metastasis from gastric cancer is rare, and muscular and subcutaneous metastases are associated with poor prognosis. We report a case of long-term survival in a patient who underwent curative resection of gastric cancer and repeated recurrence of port site, muscular and subcutaneous metastases from gastric cancer, treated by resection. Case presentation A 75-year-old man was diagnosed with gastric cancer and referred to our department. Upper endoscopy demonstrated a 5-cm circumferential ulcerated lesion at the cardia. Biopsy findings showed a poorly differentiated tubular adenocarcinoma. He underwent laparoscopic total gastrectomy with lymph node dissection, and pathologic examination revealed a moderately differentiated tubular adenocarcinoma stage T4aN1M0 and IIIA according to the UICC (Union for International Cancer Control) classification. He refused adjuvant chemotherapy and was only carefully observed. Twenty-three months after the primary gastrectomy, computed tomography (CT) revealed an irregular mass near the port site wounds. Then the patient underwent mass resection, and the pathological diagnosis was consistent with metastatic adenocarcinoma, located in the subcutaneous tissue at the port site wounds. Thirteen months after the second surgery, CT revealed an enhanced mass in the abdominal wall. Positron emission tomography (PET) CT showed an elevated uptake in the rectus abdominis muscle and a standardized uptake value (SUV) of 3.1. The patient underwent another mass resection, and the pathological diagnosis was consistent with metastatic adenocarcinoma in the rectus abdominis muscle. Thirty-five months after the third surgery, CT revealed a mass in the left gluteal subcutaneous region. Furthermore, PET-CT revealed a 35-mm mass with an elevated SUV of 9.6. Another mass resection procedure was performed, and the pathological diagnosis was consistent with metastatic adenocarcinoma in the subcutaneous tissue. Since tumor cells were present at the resection margin, additional radiation therapy was performed. The patient has survived 78 months after primary gastrectomy. Conclusion The prognosis of muscular and subcutaneous metastases from gastric cancer is poor. However, if the metastatic tumor is solitary, surgical excision could be a feasible treatment option and might prolong survival.

show abstract

Cutaneous Metastasis at a Surgical Drain Site after Gastric Cancer Resection

Cited by 10 publications

References 4 publications

Late Cutaneous Metastasis Originating from Gastric Cancer with Synchronous Metastasis

Late Cutaneous Metastasis Originating from Gastric Cancer with Synchronous Metastasis

An Iatrogenic Metastasis

Metachronous port site, muscular and subcutaneous metastases from a gastric adenocarcinoma: a case report and review of articles

Contact Info

Product

Resources

About