Indexed with PubMed and Science Citation Index (E) 
Users online: 4285 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
   Next article
   Previous article 
   Table of Contents
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Article in PDF (90 KB)
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

  In this article
   Article Figures

 Article Access Statistics
    PDF Downloaded110    
    Comments [Add]    
    Cited by others 2    

Recommend this journal


Year : 2005  |  Volume : 71  |  Issue : 3  |  Page : 208-209

Gastric carcinoma presenting as cutaneous metastases

Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Sector - 4, Rohini, New Delhi, India

Correspondence Address:
Kumar Prabhash
B7/99, Sector - 4, Rohini, New Delhi
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.16245

Rights and Permissions

How to cite this article:
Prabhash K, Talwar V, Vaid A K, Doval D C. Gastric carcinoma presenting as cutaneous metastases. Indian J Dermatol Venereol Leprol 2005;71:208-9

How to cite this URL:
Prabhash K, Talwar V, Vaid A K, Doval D C. Gastric carcinoma presenting as cutaneous metastases. Indian J Dermatol Venereol Leprol [serial online] 2005 [cited 2020 May 25];71:208-9. Available from: http://www.ijdvl.com/text.asp?2005/71/3/208/16245


The skin is uncommonly involved by metastatic tumors. Breast carcinoma and pulmonary carcinoma are the most common carcinomas metastasizing to the skin. Skin metastases from stomach carcinoma are uncommon. Stomach carcinoma presenting as skin metastases alone is very rare and here we report such a case.

A 50-year-old man presented with multiple nodules on the chest, back and abdomen [Figure - 1]. Fine needle aspiration cytology from the nodule was suggestive of metastatic adenocarcinoma. His upper gastrointestinal endoscopy showed an ulcero-proliferative growth at the greater curvature of the stomach, a biopsy from which showed features of adenocarcinoma of the stomach. CT scan of abdomen and chest showed thickening at the greater curvature in the stomach, while the liver and chest were normal. Colonoscopy was normal.

On the basis of these findings he was diagnosed as a case of adenocarcinoma of stomach with skin metastases. He was started on palliative chemotherapy (5-fluorouracil 750 mg/m2 on days 1-3 and cisplatin 75 mg/m2 on day 1 every three weeks). On reassessment after three cycles of chemotherapy, he was found to have progressive disease. His general condition also deteriorated. He died three months after his diagnosis.

Carcinoma stomach presenting as metastases to the skin is rare.[1] It can present as a nodule, a cellulitis like skin lesion or as an erysipelas-like picture.[2],[3] The skin metastases may be isolated or may be associated with metastases at multiple sites. As these patients have carcinoma in an advanced stage, the usual goal of therapy is palliation. Some patients may respond very well to chemotherapy.[4] Our patient had progressive disease and did not respond to chemotherapy. The survival in patients with skin metastases from a primary lesion is usually poor. The median duration of survival after skin metastases from carcinoma stomach is not known due to paucity of data. In one study the median survival was only 1.2 months.[5] This case is being reported for its rarity and to highlight the poor outcome in such patients.

  References Top

1.Navarro V, Ramon D, Calduch L, Llombart B, Monteagudo C, Jorda E. Cutaneous metastasis of gastric adenocarcinoma: an unusual clinical presentation. Eur J Dermatol 2002;12:85-7.  Back to cited text no. 1  [PUBMED]  [FULLTEXT]  
2.Foo KF, Tao M, Tan EH. Gastric carcinoma presenting with cellulites - like cutaneous metastasis. Singapore Med J 2002;43:37-8.  Back to cited text no. 2  [PUBMED]    
3.Carreno MR, Munoz YT, Ibanez PA, Munoz GR, Polimon OI, Benito BA, et al. Erysipeloid skin metastasis as presentation form of gastric cancer. Rev Esp Enferm Dig 2001;93:672-3.  Back to cited text no. 3      
4.Michiwa Y, Earashi M, Kobayashi H, Matsuki N. Cutaneous metastases from gastric adenocarcinoma treated with combination chemotherapy producing complete response with long survival. J Exp Clin Cancer Res 2001;20:297-9.  Back to cited text no. 4  [PUBMED]    
5.Schoenlaub P, Sarraux A, Grosshans E, Heid E, Cribier B. Survival after cutaneous metastasis: A study of 200 cases. Ann Dermatol Venereol 2001;128:1310-15.  Back to cited text no. 5  [PUBMED]  [FULLTEXT]  


  [Figure - 1]

This article has been cited by
1 Gastric carcinoma with skin metastasis | [Carcinoma gástrico con metástasis en la piel]
González-Paredes, G.M.
Piel. 2008; 23(9): 529-531
2 Carcinoma gástrico con metástasis en la piel
Gabriela M. González-Paredes
Piel. 2008; 23(9): 529
[Pubmed] | [DOI]


Print this article  Email this article
Previous article Next article


Online since 15th March '04
Published by Wolters Kluwer - Medknow