Cutaneous metastasis of gastric carcinoma: A rare case with unusual presentation site

Abbasi, Ata; Abbasi, Fariba; Mahmodlou, Rahim; Mehdipour, Elnaz

doi:10.4103/ijdpdd.ijdpdd_38_17

Cited by 4 publications

(5 citation statements)

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“…Metastasisfrom gastric adenocarcinoma usually develop on the abdominal wall as skin nodules or Sister Mary Joseph's nodules around the umbilicus (Figure 3). 4,5 However, in this case, the skin metastasis did not manifest as nodules but as skin papules, which initially appeared as dermatitis in general. Thus, the patient was prescribed with dermal cream treatment.…”

Section: Discussionmentioning

confidence: 61%

Unusual Skin Metastasis from Gastric Cancer: A Case Report

Budipramana

2020

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Background: Skin metastasis from gastric cancer are relatively rare, but they have important clinical significance because they usually indicate a worse prognosis. Skin metastasis from gastric cancer may spread through lymphatic ducts, blood vessels in the ligamentum teres, contiguous extension, or embryologic remnants of the umbilicus. Purpose: To report an unusual skin metastasis from gastric cancer that clinically resembles as a benign lesion of skin papules. Case: A rare metastasis from gastric cancer origin in a 61-year-old male in the abdominal skin. Gastric cancer metastasis in an unusual site such as the abdominal skin often resembles as dermatitis, especially in the early course of metastatic spreading, which looked like common papules on the skin. Discussion: In the beginning, the skin papules were not suspected to be a metastatic process because there was no palpable or no tenderness in the subcutan or fascia underneath. The appearance resembled common dermatitis. However, as papules rapidly spread to the surrounding skin, the malignancy was then suspected. The incisional biopsy from the papules was performed and showed that it was metastatic diffuse-type gastric adenocarcinoma. Conclusion: The skin metastasis was different from general nodules, but rather as skin papules of general dermatitis in initial appearance. The surgeon and dermatologist should be alert if they find any benign appearance of a skin lesion on the abdominal wall in a patient with a history of gastric cancer surgery.

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Section: Discussionmentioning

confidence: 61%

Unusual Skin Metastasis from Gastric Cancer: A Case Report

Budipramana

2020

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“…SMJN accounts for about 60% of all malignant umbilical tumors (5). Metastatic involvement of the skin usually develops by direct invasion of the nearby tumor such as skin involvement in breast cancer, which often occurs in the overlying skin of the involved breast (1).…”

Section: Discussionmentioning

confidence: 99%

“…Skin metastasis can also occur through the lymphatic or hematogenous spread, and according to the literature, most of the cases of skin metastases with gastric origin have been observed in skin tissue of the abdominal wall (1,3).…”

Section: Discussionmentioning

confidence: 99%

“…Cutaneous metastasis from internal malignancies is relatively uncommon. It is estimated that about 0.7% -10.4% of patients with different malignancies might develop skin metastasis at some point during their illness (1). Cutaneous involvement from gastric carcinoma is quite a rare finding as only 6% of all skin metastases in males and 1% in females have been reported to arise from gastric cancer (2).…”

Section: Introductionmentioning

confidence: 99%

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Huge Cutaneous Metastases from Gastric Adenocarcinoma: Report of a Rare Case

Mafi

2020

Rep Radiother Oncol

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: Cutaneous metastases from gastric cancer are quite rare, accounting for only 6% of all skin metastases in males and 1% in females. In case of occurrence, they are usually a sign of advanced disease and poor prognosis. This report presents a rare case of a 27-year-old male with gastric cancer who developed huge skin metastases and surprisingly, had a few visceral metastases. After four cycles of palliative chemotherapy, he discontinued the treatment and started to consume some herbal medicine. As he had a few visceral metastases, we presume that he passed away due to septic complications of the skin lesions rather than visceral crisis.

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“…In the case of gastric tumors, signet-ring cell carcinoma is the most common to show cutaneous metastasis. 42 As with colorectal adenocarcinoma, the abdomen is the most commonly affected site and clinically may present as nodules, erysipela-like lesions, or epidermal cyst-like lesions. 42 The prognosis is very poor in both metastases, with a mean survival of a few months.…”

Section: Clinical Presentationmentioning

confidence: 99%