Clinical Image

Cutaneous Metastasis from Primary Gastric Cancer

Michael Constantin Kirchberger*
Department of Dermatology, University Hospital Erlangen, Germany

*Corresponding author: Michael Constantin Kirchberger, Department of Dermatology, University Hospital Erlangen, Ulmenweg 18, 91054 Erlangen, Germany


Published: 06 Apr, 2017
Cite this article as: Kirchberger MC. Cutaneous Metastasis from Primary Gastric Cancer. Ann Clin Case Rep. 2017; 2: 1323.

Clinical Image

A 91-year-old man was referred to our dermatology clinic for a 3 cm × 2 cm ulcerative nodule at his chin (Figure 1). The lesion had been rapidly growing since approximately 2 months. Biopsy showed skin metastasis originating from a gastric adenocarcinoma. The patient had no fever and did not experience night sweat or weight loss. Computed tomographic scanning of the whole body revealed a gastric tumor with blood vessel infiltration, peritoneal carcinomatosis, pulmonary metastases with pericardium infiltration, and multiple disseminated subcutaneous metastases. The patient refused therapy and died a month after diagnosis. The skin is an unusual location for metastasis from visceral cancers. However, gastric cancer can present as Sister Mary Joseph’s nodule, which is a skin metastasis that is typically umbilically located.

Figure 1

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Figure 1
Ulcerative lesion.