胆囊癌皮肤转移一例

• 作 者: 马桢林
• 出 处: 国外医学.皮肤性病学分册
• 发表日期: 1996年01期
• 关键词: 胆囊癌 脐部 对证治疗 渗出液 鸽蛋 白细胞增高 异形性 经皮手术 腺管 结节型

内脏癌的皮肤转移很少见,一般在5％以下,其中胆囊癌的皮肤转移尤为罕见,日本仅有9例报告。作者将所见1例结合文献作了报道。 患者女性,77岁。8个月前因腹痛、发热在内科经各种检查诊断为胆囊癌。因怀疑浸润到肝脏、胆管和门静脉,仅作了对证治疗及观察。2个月前脐部出现硬结,渐增大伴渗出液而转入皮肤科。查体:脐部可见无自觉症状、易出血、伴渗液的皮损,部分糜烂,其皮下可触及鸽蛋大的硬结。

The skin metastasis of visceral cancer is rare, generally less than 5%, of which skin metastasis of gallbladder cancer is particularly rare. In Japan, only 9 cases have been reported. The author reported the 1 case combined with the literature. Female patient, 77 years old. 8 months ago due to abdominal pain, fever diagnosed as gallbladder cancer in various internal examinations. Due to suspected infiltration into the liver, bile ducts, and portal veins, only symptomatic treatment and observations were performed. Two months ago, induration appeared in the umbilicus, which gradually increased with exudate and transferred to dermatology. Examination: The umbilical part showed no symptoms, easy bleeding, skin lesions accompanied by exudate, and some erosions. The intestine of the pigeons could touch the induration of the pigeon eggs.