Metastatic gastric adenocarcinoma presenting as an enlarging plaque on the scalp.
We present a case report of metastatic gastric adenocarcinoma in which the cutaneous metastases were the first sign of disease recurrence. A 73-year-old man presented with painless red plaques on his scalp and forehead. He was diagnosed with gastric carcinoma with metastases to perigastric lymph nodes 3 1/2 years earlier. Histopathology results revealed signet-ring cells consistent with gastric adenocarcinoma. The patient failed to respond to treatment with intralesional interleukin 2, previously reported to be effective, and expired 7 months later.
Lifshitz
Oren H
OH
Department of Dermatology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Berlin
Joshua M
JM
Taylor
James S
JS
Bergfeld
Wilma F
WF
D000230:Adenocarcinoma / Q000473:pathology*; D000368:Aged; D001706:Biopsy; D004890:Erythema / Q000473:pathology / Q000628:therapy; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D012535:Scalp / Q000473:pathology; D012536:Scalp Dermatoses / Q000473:pathology* / Q000628:therapy; D012878:Skin Neoplasms / Q000556:secondary* / Q000628:therapy; D013274:Stomach Neoplasms / Q000473:pathology*