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Erysipelas carcinomatosum der Abdominalhaut

„Erstmanifestation“ eines Siegelringzellkarzinoms des Magens

Gastric signet ring cell carcinoma presenting

An erysipelas-like cutaneous metastasis of the abdominal skin

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Zusammenfassung

Es wird über einen 71-jährigen männlichen Patienten berichtet, der 5 Monate vor Erstvorstellung in unserer Klinik eine diffuse livid-rötliche Verfärbung abdominal bemerkt hatte. In der feingeweblichen Untersuchung konnte eine Infiltration der Dermis durch Siegelringzellen gezeigt werden. Die daraufhin veranlasste Suche des Primärtumors zeigte ein lokal fortgeschrittenes Adenokarzinom (GIII–GIV) des Magens mit Schleimhautulzeration. Eine weitere Organmetastasierung konnte ausgeschlossen werden. Anhand des vorliegenden Falls wird der ungewöhnliche klinisch-diagnostische Verlauf bei einem Patienten mit einem Siegelringzellkarzinom des Magens aufgezeigt, das durch ein Erysipelas carcinomatosum der Abdominalhaut auffällig wurde.

Abstract

A 71-year-old patient presented with diffuse and poorly circumscribed erythematous plaques of the abdominal skin, present for 5 months. Histology revealed a diffuse infiltration of the entire dermis with cytokeratin-positive signet-ring-cells. Subsequently, an extensive search for a primary adenocarcinoma uncovered a locally advanced signet-ring-cell gastric carcinoma. There were no metastases to other organs. This case shows the unusual clinical-diagnostic sequence of a patient with a signet-ring-cell-carcinoma of the stomach presenting with an erysipelas-like cutaneous metastasis of the abdominal skin.

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Authors and Affiliations

  1. Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum des Saarlandes, 66421, Homburg/ Saar, Deutschland

    C.S.L. Müller, C. Pföhler, J. Reichrath & W. Tilgen

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  1. C.S.L. Müller
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  2. C. Pföhler
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  3. J. Reichrath
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  4. W. Tilgen
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Correspondence to C.S.L. Müller.

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Müller, C., Pföhler, C., Reichrath, J. et al. Erysipelas carcinomatosum der Abdominalhaut. Hautarzt 59, 992–994 (2008). https://doi.org/10.1007/s00105-008-1541-z

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  • DOI: https://doi.org/10.1007/s00105-008-1541-z

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