Department of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, FL 32610, United States.
World J Gastroenterol. 2009 Sep 21;15(35):4372-9. doi: 10.3748/wjg.15.4372.
Numerous dermatological disorders have been associated with underlining malignancies of the gastrointestinal (GI) tract. Such cutaneous manifestations might have an important diagnostic value if they are the sole expressions of otherwise asymptomatic carcinomas. The recognition of some typical paraneoplastic dermatologic disorders can lead to the prompt diagnosis of the underlying malignancy, timely administration of therapy, and ultimately, better prognosis. In this review we discuss the most common paraneoplastic dermatological syndromes from the perspective of the practicing gastroenterologist. We also outline a comprehensive practical approach for the evaluation for occult malignancy in patients presenting with cutaneous findings potentially associated with GI cancers.
许多皮肤疾病与胃肠道(GI)恶性肿瘤有关。如果这些皮肤表现是无症状癌的唯一表现,那么它们可能具有重要的诊断价值。识别一些典型的副肿瘤性皮肤病可以促使及时诊断潜在的恶性肿瘤,进行及时的治疗,最终改善预后。在这篇综述中,我们从临床胃肠病医生的角度讨论了最常见的副肿瘤性皮肤综合征。我们还概述了一种全面实用的方法,用于评估有潜在 GI 癌相关皮肤表现的患者的隐匿性恶性肿瘤。