Published online Dec 16, 2023. doi: 10.12998/wjcc.v11.i35.8411
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
Processing time: 80 Days and 14.8 Hours
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.
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.
Our case highlights that cutaneous metastasis should be considered when skin lesions appear in patients with GC.
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.