A 65-year-old man arrives to the office complaining of weariness, loss of appetite, and weight loss. He has dropped 5.4 kg (12 lb) in the previous three months and consumes only tiny quantities of food since he feels full quickly after starting to eat. The patient smokes a pack of cigarettes every day and consumes alcohol on a social basis. The blood pressure is 152/90 mm Hg, and the pulse rate is 90 beats per minute. A firm, 3-cm lymph node over the left collarbone is discovered on physical examination. As illustrated below, the patient has several skin lesions on his trunk that have formed since the commencement of his other symptoms. This patient's skin lesions most likely represent which of the following conditions?

Question

A 65-year-old man arrives to the office complaining of weariness, loss of appetite, and weight loss. He has dropped 5.4 kg (12 lb) in the previous three months and consumes only tiny quantities of food since he feels full quickly after starting to eat. The patient smokes a pack of cigarettes every day and consumes alcohol on a social basis. The blood pressure is 152/90 mm Hg, and the pulse rate is 90 beats per minute. A firm, 3-cm lymph node over the left collarbone is discovered on physical examination. As illustrated below, the patient has several skin lesions on his trunk that have formed since the commencement of his other symptoms.  This patient's skin lesions most likely represent which of the following conditions?

Quizplus · Accepted Answer

Eductional Objective: Seborrheic keratoses are pigmented macules or plaques with a greasy surface and well-demarcated borders.  Rapid onset of numerous lesions is an indicator of internal malignancy (Leser-Trélat sign), especially gastric adenocarcinoma.

A 65-Year-Old Man Arrives to the Office Complaining of Weariness