Song Young Wook, Kim Woo Sub, Yun Gee Young, Park Sun Wook, Kang Sun Hyung, Moon Hee Seok, Sung Jae Kyu, Jeong Hyun Yong
Division of Gastroenterology, Daejeon Veterans Hospital, Daejeon, Korea.
Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.
Korean J Gastroenterol. 2016 Jul 25;68(1):36-9. doi: 10.4166/kjg.2016.68.1.36.
Many neoplasms, including lung cancer, breast cancer, melanoma, and gastrointestinal tract malignancy, possess potential for skin metastasis. Skin metastases can represent the first presentation of such malignancies and may be observed incidentally during routine exam. Skin metastases from gastric adenocarcinoma are uncommon, with a prevalence rate of 0.04-0.8%. Cutaneous metastases from gastric cancer are generally observed as the initial symptom of advanced gastric cancer. Early detection and treatment can increase patient survival. A 42-year-old woman visited our department with nodule about 1 cm in size on the right frontal scalp noticed incidentally after laparoscopy-assisted distal gastrectomy and adjuvant systemic chemo-therapy for early gastric cancer about 16 months prior. The patient was diagnosed with skin metastasis from gastric adenocarcinoma. Complete excision of the skin lesion and additional chemotherapy were performed. Herein, we report a case of nodular tumor-like scalp metastasis from early gastric cancer with a brief review of the literature.
许多肿瘤,包括肺癌、乳腺癌、黑色素瘤和胃肠道恶性肿瘤,都有发生皮肤转移的可能。皮肤转移可能是这些恶性肿瘤的首发表现,也可能在常规检查中偶然发现。胃腺癌的皮肤转移并不常见,发生率为0.04 - 0.8%。胃癌的皮肤转移通常被视为晚期胃癌的初始症状。早期发现和治疗可以提高患者生存率。一名42岁女性在约16个月前因早期胃癌接受腹腔镜辅助远端胃切除术及辅助全身化疗后,偶然发现右额头皮有一个约1厘米大小的结节,遂来我院就诊。该患者被诊断为胃腺癌皮肤转移。对皮肤病变进行了完整切除并追加了化疗。在此,我们报告一例早期胃癌结节状肿瘤样头皮转移病例,并对相关文献进行简要回顾。