title: Cutaneous metastases as the first clinical sign of metastatic gastric carcinoma.
abstract: Cutaneous metastases from gastric cancer are uncommon with a frequency of 7 % but can rarely be the presenting sign. A 54-year-old man complained of multiple pea-sized scalp nodules which had been present for four months. Histology showed a metastatic adenocarcinoma. Initial evaluation revealed liver metastases and gastroscopy then identified a tumor involving the distal esophagus and gastric cardia that was diagnosed as a gastric tubular carcinoma. The patient had a good response to polychemotherapy. While gastric carcinoma generally metastasizes to the abdominal wall or lymph nodes, our patient showed an exceptional variant with distant cutaneous metastases as the first clinical sign.
authors.affiliation: Department of Dermatology, University of Wuerzburg, Wuerzburg, Germany.
authors.forename: Lidia
authors.initials: L
authors.lastname: Frey
authors.forename: Claudia
authors.initials: C
authors.lastname: Vetter-Kauczok
authors.forename: Anja
authors.initials: A
authors.lastname: Gesierich
authors.forename: Eva-B
authors.initials: EB
authors.lastname: Bröcker
authors.forename: Selma
authors.initials: S
authors.lastname: Ugurel
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000556:secondary*; D006258:Head and Neck Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012535:Scalp / Q000473:pathology*; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D013274:Stomach Neoplasms / Q000175:diagnosis*