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Surgery Today

, Volume 27, Issue 2, pp 166–168 | Cite as

Gastric cancer with carcinoma erysipeloides caused by spontaneous thoracic duct rupture: Report of a case

  • Yoshitaka Yamamura
  • Yasuhiro Kodera
  • Tsuyoshi Kito
Case Reports

Abstract

A case of extensive skin metastasis (carcinoma erysipeloides) resulting from spontaneous rupture of the metastasized Virchow lymph node in a 53-year-old woman is herein reported. Imaging evidence attributing this metastasis to spontaneous rupture of the fragile thoracic duct at the supraclavicular fossa is presented. The patient, who had already undergone gastric resection more than 6 years previously because of advanced gastric cancer, died approximately 4.5 months after the occurrence of lymphorrhea in her neck since the anticancer chemotherapy administered demonstrated little or no effect.

Key Words

disseminated skin metastasis rupture of thoracic duct carcinoma erysipeloides gastric cancer 

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References

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    Japanese Research Society for Gastric Cancer (1995) Japanese classification of gastric carcinoma, 1st English edn. Kanchara, TokyoGoogle Scholar
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    Cox SE, Cruz PD (1994) A spectrum of inflammatory metastasis to skin via lymphatics: Three cases of carcinoma crysipeloides. J Am Acad Dermatol 30:304–307PubMedGoogle Scholar
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    Makino H, Naito K, Tsuruta A, Kan K, Toda S, Yoshimura N, Ohmori Y, Oka T (1993) A case of complete remission of metastatic skin carcinoma (erythema type) from advanced gastric cancer by CDDP administration (in Japanese with English abstract). Jpn J Cancer Chemother 20:2225–2228Google Scholar
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    Hori M, Yamashiro K, Toriyama F, Irifune H, Yoshida H (1987) Statistical study of metastatic skin cancer (in Japanese with English abstract). Nishi Nippon Hifuka (Nishinihon J Dermatol) 49:304–310Google Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Yoshitaka Yamamura
    • 1
  • Yasuhiro Kodera
    • 1
  • Tsuyoshi Kito
    • 1
  1. 1.Department of Gastroenterological SurgeryAichi Cancer Center HospitalNagoyaJapan

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