1995 Volume 56 Issue 1 Pages 108-110
There are many occasions that dermal metastasis of gastric carcinoma is regarded as an organ of systemic metastasis, and it is known that long survivours from the dermal metastasis are few. We experienced a very rare case of dermal metastasis from gastric cancer, which developed 7.5 years after operation for the gastric cancer without any other organ metastases and has been successfully followed up for 2.5 years after operation for the metastatic lesion.
In october 1982 a 50-year-old man was pointed out an abnormality at screening test for gastric cancer and underwent total gastrectomy in November of the year. Pathologically, the lesion was signet cell carcinoma of P0N0n1(+) ss•γ•ly-2•v-1 in stage II. After that, the patient was followed on an ambulant basis without signs of recurrence. Around July 1990 flare developed on the right superior lip, but he did not consult us about it. In February 1993 the patient was seen at the hospital because of enlarging flare. Biopsy was performed and a diagnosis of dermal metastasis of gastric cancer was made. The lesion was removed, and subsequently the patient has been strictly followed up to now. Such a case of dermal metastasis of gastric carcinoma as progresses gradually like this is relatively rare.
