표재성 이주성 혈전성 정맥염으로 발현된 위선암 1 예

Superficial migratory thrombophlebitis represents multiple, tender, often cord like nodules uaually on the legs but occasionally on the arms. It can be associated with internal malignancy or other systemic disease, such as varicose veins, thromboangitis obliterans, but also occurs idiopathically. Recently we experienced a patients with superficial migratory thrombophlebitis, chronic disseminated intravascular coagulation associated with adenocarcinoma of the stomach. A 35-year-old man was admitted to our hospital because of the pain and swelling of left lower leg for one month. An erythematous tender swelling along the superficial vein in above area was found and the skin biopsy disclosed perivascular lymphocytic infiltration and interstitial edema of subcutaneous tissue. Abdominal CT showed a localized ulcerating wall thickening involving the greater curvature of anterior wall of lower body of stomach, which was confirmed as adenocarcinoma with gastrofiberscopic biopsy. The blood level of FDP was increased and fibrinogen was decreased. The patient surgery was discharged against advise of surgery.