1. Metastatic Gastric Ca to subcutaneous tissue emulating Kaposis's and MFH.
Fifty year old Patient with a history of s/p gastrict resection for scirrhous Ca of Stomach, presents five years later with indurated subcutaneous nodules in the nape of the neck
a. Gastric Primary 100x Notice Ulcer with exudate, below.
b. Gastric Primary 250x Notice the linitis type of the tumor.
c. Biopsy from subcutaneous nodule 100x
d. Biopsy from subcutaneous nodule 250x
e. Biopsy from subcutaneous nodule 450x
Notice the similarity of the primary (a,b) to the mets (c,d,e)
Note: This case was diagnosed as Kaposi's sarcoma and MFH before the stomach Ca history was known.