Heidenheim M, Hansen U, Andersen J
Department of Dermatology, Gentofte Hospital, University of Copenhagen, Denmark.
Cutis. 1989 Dec;44(6):455-8.
We report the clinical features and course of a 66-year-old patient with gastric carcinoma, in whom multiple cutaneous metastases occurred one year after he underwent subtotal gastrectomy. Although internal malignancies rarely metastasize to the skin, when they do this may have profound diagnostic, therapeutic, and prognostic significance. Cutaneous metastases are usually synonymous with a rapidly progressive disease and a poor prognosis. This case, in which cutaneous metastases were found in the lower limbs, is notable since usually less than 4 percent of cutaneous metastatic lesions are found in this region. Moreover, the case seems unique because of the predominating dermiotrophic metastases, with only minor internal involvement.
我们报告了一名66岁胃癌患者的临床特征及病程，该患者在接受胃次全切除术后一年出现多处皮肤转移。尽管内脏恶性肿瘤很少转移至皮肤，但一旦发生，可能具有深远的诊断、治疗及预后意义。皮肤转移通常意味着疾病进展迅速且预后不良。该病例中皮肤转移发生在下肢，值得注意的是，通常该部位皮肤转移瘤不到4%。此外，该病例似乎较为独特，因为主要是亲皮性转移，仅有轻微的内脏受累。
