DU Chunxia, Hong Ruoxi, Liu Yuehua, Wang Jinwan, Zhang Honggang, Yu Xiaoduo
Department of Medical Oncology, Cancer Institute/Hospital, Chinese Academy of Medical Sciences, Beijing 100021, P.R. China.
Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, P.R. China.
Oncol Lett. 2015 Feb;9(2):641-644. doi: 10.3892/ol.2014.2708. Epub 2014 Nov 19.
The current report presents an extremely rare case of a 41-year-old female with advanced gastric cancer who developed scalp metastasis during the period of systemic chemotherapy. The patient did not exhibit any rash or plaque at the initial physical examination. Following the 11th cycle of chemotherapy, the patient complained of pain on the scalp and a pink lesion was identified in the parietal region on physical examination, which increased in size and became darker and ulcerated. Pathological biopsy of the lesion and cranial magnetic resonance imaging confirmed the diagnosis of scalp metastasis. The patient succumbed to the disease one month later. The English literature was searched in the PubMed database and four cases of gastric cancer metastatic to the scalp were found. The present report discusses the common clinical presentations of these four cases in combination with the current case.
本报告介绍了一例极为罕见的病例，一名41岁晚期胃癌女性在全身化疗期间发生了头皮转移。患者初诊时未出现任何皮疹或斑块。在第11周期化疗后，患者主诉头皮疼痛，体格检查发现顶叶区域有一个粉红色病变，其大小增大，颜色变深并出现溃疡。病变的病理活检和头颅磁共振成像证实了头皮转移的诊断。患者在一个月后死于该疾病。在PubMed数据库中检索了英文文献，发现了4例胃癌转移至头皮的病例。本报告结合当前病例讨论了这4例病例的常见临床表现。
