Cutaneous metastasis at a surgical drain site after gastric cancer resection |
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Authors: | Karayiannakis Anastasios J Bolanaki Helen Tsalikidis Christos Simopoulos Constantinos |
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Institution: | Second Department of Surgery, Democritus University of Thrace, Medical School, Alexandroupolis, Greece. |
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Abstract: | Cutaneous metastasis from intra-abdominal malignant solid tumours such as gastric adenocarcinoma is very rare. Here, we report the case of a 76-year-old male patient with a T4N2M0, poorly differentiated, signet-ring cell gastric carcinoma, who underwent potentially curative resection of the tumour and developed cutaneous metastasis at the site of the surgical drain 4 months after the operation while he was on chemotherapy. The lesion involved the skin and the subcutaneous fat only. A CT scan revealed local recurrence at the resection bed but no distant metastases. The patient died 1 month later. It is concluded that the development of cutaneous metastasis after gastric carcinoma resection indicates tumour recurrence or disseminated disease and is associated with poor prognosis. |
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