Subcutaneous nodules: a rare form of metastasis of Gastric Adenocarcinoma

Resumo

68-year-old man with gastric adenocarcinoma, diagnosed in November of 2019, having undergone roux-en-y radical gastrectomy. Postoperative staging was T1bN2M0. In July of 2020, a computer tomography showed liver, lymph node, peritoneal and bone’s metastasis, with uncontrolled symptoms, being refered to palliative care team. In September of 2021, he went to the Emergency Room (ER) due to worsening of his general condition, with prostration, refusal to eat, fever and dyspnea. Objectively he was in an agony and had several fixed subcutaneous selling of firm consistency dispersed throughout the trunk, with 15 days of evolution. Thus, the evolution of the oncological disease with subcutaneous metastasis of gastric adenocarcinoma and a situation of the last hours/last days was assumed. End of life care was provided and he died at the ER.