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[皮肤转移瘤揭示胃皮革胃]

[Cutaneous metastases revealing gastric linitis].

作者信息

Charfeddine A, Tahri N, Ben Ali H, Njeh M, Boudawara T, Bouassida S, Krichen M S

机构信息

Service de Gastro-Entérologie, CHU Hédi Chaker, Sfax, Tunisie.

出版信息

Ann Dermatol Venereol. 2001 Feb;128(2):141-3.

Abstract

BACKGROUND

Cutaneous metastases from gastric carcinoma are uncommon and are exceptionally the first sign of disease.

CASE REPORT

A 33-year-old man presented with nodular lesions that had developed three months earlier on the trunk, scalp and limbs. A skin biopsy suggested a metastatic origin. The upper digestive fibroscopy with biopsy demonstrated gastric linitis. Due to the presence of bone metastasis, treatment was not initiated, the patient died four months later.

DISCUSSION

Metastatic dissemination of gastric carcinoma to the skin usually occurs in advanced stage disease. Generally, the skin lesions are painless hard nodules on the anterior abdominal wall. Our patient developed unusual inaugural skin metastases with an exceptional localization.

摘要

背景

胃癌的皮肤转移并不常见,且极少是疾病的首发症状。

病例报告

一名33岁男性患者,躯干、头皮和四肢出现三个月前开始出现的结节性病变。皮肤活检提示为转移性病变。上消化道纤维内镜检查及活检显示为胃皮革胃。由于存在骨转移,未开始治疗,患者四个月后死亡。

讨论

胃癌转移至皮肤通常发生在疾病晚期。一般来说,皮肤病变为前腹壁无痛性硬结节。我们的患者出现了不寻常的首发皮肤转移,且部位特殊。

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