Ann Dermatol.  2011 Oct;23(Suppl 2):S205-S207. 10.5021/ad.2011.23.S2.S205.

Metastatic Gastric Adenocarcinoma Presenting as a Solitary Plaque on the Palm

• Park MK
• Son IP
• Park KY
• Seo SJ

• KMID: 2156790
• DOI: http://doi.org/10.5021/ad.2011.23.S2.S205

Abstract

Cutaneous metastases from gastric adenocarcinoma are extremely rare. When present, metastasis typically signifies disseminated disease with a poor prognosis. We report a case of an 80-year-old male with gastric cancer who presented with a single, erythematous plaque on the left palm, a very rare site for skin metastasis. Results of a skin biopsy demonstrated that the cutaneous metastasis originated from the stomach. This report emphasized the need for appropriate investigation into newly appearing, unusual, or persistent skin lesions.

Keyword

Cutaneous metastasis; Gastric cancer; Palm

MeSH Terms

Adenocarcinoma
Aged, 80 and over
Biopsy
Humans
Male
Neoplasm Metastasis
Prognosis
Skin
Stomach
Stomach Neoplasms

Figure

• 

  Fig. 1 (A) An erythematous, firm, well-circumscribed ulcerative plaque on the palmar aspect of the left hand. (B) The lesion was 3×1.5 cm sized and appeared to be two ulcerative plaques that had coalesced into a single plaque.

• 

  Fig. 2 (A) The skin biopsy showed irregular, but relatively well-formed glandular structure, and diffuse inflammatory cells infiltrating the in dermis (H&E, ×40). (B) Variable-sized atypical polygonal cells with hyperchromatic and pleomorphic nuclei in atypical glandular structure of the dermis (H&E, ×200).

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