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’Carcinoma en cuirasse' in the neck: extremely unusual initial presentation of gastric cancer
  1. Madhu Rajeshwari1,
  2. Pirabu Sakthivel2,
  3. Kapil Sikka2 and
  4. Deepali Jain1
  1. 1 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
  2. 2 Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Pirabu Sakthivel, pirabusakthivel{at}


Cutaneous metastasis from visceral malignancy is a relatively rare phenomenon. It is even rarer to have cutaneous lesions as the first mode of clinical presentation in such malignancies. The lesions are usually nodular, although they can have varied appearances. Common sites of primaries include breast, lung, colorectum, kidney, ovary, and headandneck. We report an unusual form of cutaneous metastasis in the neck, known as ‘carcinoma en cuirasse’, in an elderly man that subsequently led to the diagnosis of an occult gastric cancer. Our case highlights the importance of recognising cutaneous metastatic lesions early, as they may herald the diagnosis of an occult internal malignancy.

  • dermatology
  • ear, nose and throat
  • skin
  • gastric cancer
  • skin cancer

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  • Contributors All authors had access to the data and were involved in writing the manuscript. MR, PS and KS: conception of the study, acquisition of data and drafting of the article; PS, KS and DJ: acquisition of data and final guarantor of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Next of kin consent obtained.