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患者男,56岁。腹部皮肤出现多个结节6个月。患者2012年1月开始出现间断性上腹痛,伴有反酸、嗳气,诊断为胃印戒细胞癌。遂在我院普外科行胃癌扩大根治术,术后组织病理示:胃溃疡型印戒细胞癌伴低分化腺癌。2013年7月因腹部皮肤出现多个粉红色半球形结节于2013年7月25日就诊于我院消化内科,住院期间请皮肤科会诊。体格检查:精神可,消瘦。锁骨上下、颈部及腋窝淋巴结未触及增大。心、肺无异常。腹部一约25 cm长手术瘢痕,表面无明
Male patient, 56 years old. Abdominal skin appears multiple nodules 6 months. Patients began to appear intermittent upper abdominal pain in January 2012, accompanied by acid reflux, belching, diagnosis of gastric signet ring cell carcinoma. Then general surgery in our hospital gastric cancer radical gastrectomy, postoperative histopathology showed: gastric ulcer signet ring cell carcinoma with poorly differentiated adenocarcinoma. July 2013 Multiple pink hemispherical nodules on the skin of the abdomen visited our department of gastroenterology on July 25, 2013. Please consult a dermatologist during the hospitalization. Physical examination: the spirit can, weight loss. Clavicle up and down, neck and axillary lymph nodes did not touch increased. Heart, lungs without exception. Abdomen about 25 cm long surgical scar, the surface is unknown