Gastric Adenocarcinoma with Distant Cutaneous Metstasis: Report of a Case

胃腺癌合幷遠端皮膚轉移：一病例報告

張勝雄(Shen-Shong Chang) ； 黃以信(Yi-Shin Huang) ； 趙毅(Yee Chao) ； 李芬瑤(Anna Fen-Yan Li) ； 季匡華(Kwan-Hwa Chi) ； 顔上惠(Sang-Hue Yen) ； 王聖賢(Sun-Sang Wang) ； 張扶陽(Full-Young Chang) ； 李壽東(Shou-Dong Lee)

《中華民國消化系醫學雜誌》 17卷2期 (2000/06) Pp. 143-147

https://doi.org/10.6557/GJTb.200006_17(2).0005

摘要

我們報告一例頸部皮膚轉移的胃腺癌病人，文獻上，胃癌很少轉移到皮膚。皮膚轉移大部份發生在原發腫瘤附近的地方，頸部對胃腺癌皮膚轉移的病例而言是一個罕見的位置，此時，原發皮膚腫瘤和真皮或皮下組織之病變必須納入鑑別診斷，而確定診斷是需要組織病理切片。雖然胃腺癌合併皮膚轉移之預後不佳，但是高度懷疑幷儘早診斷可使臨床醫師提供更有效之根治性或姑息性的治療。

關鍵字

胃腺癌 ； 皮膚轉移 ； 原發皮膚腫瘤

並列摘要

We present a case of gastric adenocarcinoma with distant cutaneous metastasis initially on the neck. In the literature, the stomach has been shown to be a very rare source for metastatic tumors of the skin. Generally, skin metastasis most frequently occurs in the vicinity of the primary tumor. The neck is an unusual area for cutaneous metastasis of gastric adenocarcinoma. Primary skin tumors and a variety of dermal or subcutaneous lesions need to be differentially diagnosed. A definite diagnosis is made by performing tissue biopsy. Although skin metastasis indicates a very bad prognosis with rapid death, a high index of suspicion of cutaneous metastasis in various malignancies will enable the clinician to provide a more effective curative or palliative treatment.

並列關鍵字

gastric adenocarcinoma ； cutaneous metastasis ； primary skin tumor