Carcinoma erysipelatoides resulting from gastric adenocarcinoma: an unusual clinical presentation.
OBJECTIVE
To report a rare case of carcinoma erysipelatoides on the laryngeal skin caused by stomach adenocarcinoma.


METHODS
A 48-year-old male, who had undergone a gastrectomy 18 months prior to admission for stage IIIA gastric adenocarcinoma, presented with a reddish induration of the cervical skin, lymphadenopathy in both supraclavicular areas and widespread subcutaneous nodules. Abdominal computerized tomography and chest radiography did not reveal any organ metastasis or peritoneal carcinomatosis. A biopsy of the induration revealed atypical epithelial cells with edema and dilatation of lymphatics. The patient was given combination chemotherapy of etoposide, adriamycin, and cisplatin, and significant improvement was observed over the cervical area after three courses. The patient tolerated the systemic chemotherapy well and has been followed for two months.


CONCLUSIONS
We recommend combination chemotherapy in patients with cutaneous metastasis of gastric adenocarcinoma as a safe and effective treatment.
Kavgaci
Halil
H
Department of Oncology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. hkavgaci@meds.ktu.edu.tr
Reis
Abdulkadir
A
Ozdemir
Feyyaz
F
Bektas
Ozlem
O
Arslan
Mehmet
M
Aydin
Fazil
F
D000230:Adenocarcinoma / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000188:drug therapy / Q000556:secondary*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012878:Skin Neoplasms / Q000188:drug therapy / Q000556:secondary*; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery