|
KMID : 0032220150270040439
|
|
Annals of Dermatology
2015 Volume.27 No. 4 p.439 ~ p.441
|
|
|
A Case of Metastatic Gastric Adenocarcinoma Mimicking Preseptal Cellulitis
|
|
Won Kwang-Hee
Lee Mi-Hye
Lee Woo-Jin
Won Chong-Hyun
Chang Sung-Eun
Choi Jee-Ho
Moon Kee-Chan
Lee Mi-Woo
|
|
|
Abstract
|
|
|
|
Cutaneous metastasis from gastric adenocarcinoma is uncommon, and the eyelid is a rare metastatic site. Three patterns of clinical presentation of eyelid metastasis have been described: nodular, infiltrative, and ulcerated. The infiltrative pattern, also known as an inflammatory diffuse pattern or mask-like metastasis, can be easily misdiagnosed as cellulitis or contact dermatitis. Here, we report a case of gastric adenocarcinoma in a 75-year-old man who presented with a localized erythematous plaque on his eyelid that developed four months earlier. The patient had been treated with an antimicrobial agent owing to suspicion of preseptal cellulitis. Gastric adenocarcinoma metastasis was diagnosed on the basis of histopathological examination and immunophenotyping (i.e., cytoplasmic epithelial membrane antigen, cytokeratin-7, cytokeratin-20, and carcinoembryonic antigen). For patients with malignant neoplasms, persistent skin lesions similar to cellulitis or contact dermatitis should be suspected of metastasis derived from an internal malignancy, even for very rare sites of metastasis. (Ann Dermatol 27(4) 439∼441, 2015)
|
|
|
KEYWORD
|
|
|
Adenocarcinoma, Eyelids, Neoplasm metastasis, Orbital cellulitis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|
|