A Case of Disseminated Cutaneous Metastatic Carcinoma from Stomach Carcinoma.
10.5021/ad.1998.10.2.108
- Author:
Kang Seok LEE
;
Hyun Sang LIM
;
Seong Jun SEO
;
Chang Kwun HONG
;
Byung In RO
- Publication Type:Case Report
- Keywords:
Cutaneous metastatic carcinoma;
Stomach carcinoma
- MeSH:
Adenocarcinoma;
Aged;
Biopsy;
Carcinoembryonic Antigen;
Cytoplasm;
Humans;
Internal Medicine;
Keratins;
Lymph Nodes;
Male;
Molecular Weight;
Mucin-1;
Neoplasm Metastasis;
Skin;
Stomach*;
Tomography, X-Ray Computed
- From:Annals of Dermatology
1998;10(2):108-111
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of disseminated cutaneous metastatic carcinoma from stomach carcinoma in a 66-year-old male who complained chiefly of widespread cutaneous nodules. He had been admitted to the Department of Internal Medicine for stomach carcinoma. A radiological examination revealed a diffuse stomach wall thickening from the fundus to the antrum, and enlargement of paraaortic and pericaval lymph nodes during an abodominal CT scan. The clinical findings manifested above may suggest cutaneous metastasis from stomach carcinoma. A histological examination of the skin and stomach biopsies showed atypical cells with pleomorphic, hyperchromatic nuclei and bubble-like cytoplasm, which are consistent with poorly differentiated adenocarcinoma. Immunohistochemical stainings showed that these cells were positive for epithelial membrane antigen (EMA), carcinoembryonic antigen (CEA) and low molecular weight cytokeratin.