Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2023; 11(35): 8411-8415
Published online Dec 16, 2023. doi: 10.12998/wjcc.v11.i35.8411
Inflammatory cutaneous metastases originating from gastric cancer: A case report
Lei Tian, Zhi-Bin Ye, Yun-Lei Du, Qiao-Fang Li, Li-Ya He, Hong-Zhen Zhang
Lei Tian, Qiao-Fang Li, Li-Ya He, Hong-Zhen Zhang, Department of Oncology, Hebei General Hospital, Shijiazhuang 050051, Hebei Province, China
Zhi-Bin Ye, Department of Gastrointestinal Surgery, Hebei General Hospital, Shijiazhuang 050051, Hebei Province, China
Yun-Lei Du, Department of Emergency, Hebei General Hospital, Shijiazhuang 050051, Hebei Province, China
Author contributions: Tian L and He LY provided clinical care for the patient; Tian L and Ye ZB wrote the manuscript; Li QF and Du YL were the attending consultant, Zhang HZ reviewed the final draft of the manuscript; all authors contributed to the writing, editing, and review of the manuscript.
Supported by Health Commission of Hebei Province, No. 20220919.
Informed consent statement: The patient’s family has verbally agreed to the reporting of the case.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Zhen Zhang, PhD, Chief Physician, Department of Oncology, Hebei General Hospital, No. 348 Heping West Street, Shijiazhuang 050051, Hebei Province, China. 931848183@qq.com
Received: September 24, 2023
Peer-review started: September 24, 2023
First decision: October 7, 2023
Revised: October 22, 2023
Accepted: December 4, 2023
Article in press: December 4, 2023
Published online: December 16, 2023
Abstract
BACKGROUND

Cutaneous metastasis with gastric cancer (GC) origin is extremely rare and associated with poor prognosis. Nodular type is the most common type, while other forms are extremely rare.

CASE SUMMARY

This study describes severe skin redness, swelling, pain, and fever in a 65-year-old man diagnosed with GC, whose left chest wall, left upper limb, and left back were mainly affected. Firstly, the patient was diagnosed with “lymphangitis” and treated to promote lymphatic return. However, the symptoms were constantly deteriorating, and skin thickening and scattered small nodules gradually appeared. Finally, the skin biopsy confirmed cutaneous metastases, and the patient died 7 d later.

CONCLUSION

Our case highlights that cutaneous metastasis should be considered when skin lesions appear in patients with GC.

Keywords: Cutaneous metastasis, Gastric cancer, Inflammatory, Sclerodermoid, Nodular, Case report

Core Tip: We describe a 65-year-old man with advanced gastric cancer and multiple metastases. He came to our hospital due to severe skin redness, swelling, pain, and fever in his left chest wall, left upper limb, and left back. He was diagnosed with “lymphangitis” and treated to promote lymphatic return. However, pain and swelling were constantly deteriorating, and skin thickening and scattered small nodules gradually appeared. Finally, the skin biopsy confirmed cutaneous metastases, and he died 7 d later. We review the related literatures and emphasize the importance of skin biopsy in case of any skin lesions.