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The patient had small skin lesions diagnosed as seborrheic keratosis in recent years; but coinciding with the current digestive symptoms, the family reported the sudden emergence of a large number of such lesions, very widespread in the thoracic and back regions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), adding a significant pruritic component. The study revealed the existence of a stage IV pancreatic adenocarcinoma (peritoneal carcinomatosis), with no specific subsidiary surgical or cancer treatment; therefore, the patient was referred to our palliative care unit, where a comprehensive approach could be implemented.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Clinical assessment: Leser-Trelat sign associated with pancreatic cancer.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Cuervo Pinna MÁ. Signo de Leser-Trélat asociado a cáncer pancreático. Med Clin (Barc). 2016;146:470.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 799 "Ancho" => 600 "Tamanyo" => 122599 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014600000010/v1_201609110046/S2387020616303552/v1_201609110046/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014600000010/v1_201609110046/S2387020616303552/v1_201609110046/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616303552?idApp=UINPBA00004N" ]
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Image in medicine
Leser-Trelat sign associated with pancreatic cancer
Signo de Leser-Trélat asociado a cáncer pancreático
Miguel Ángel Cuervo Pinna
Equipo de Cuidados Paliativos de Badajoz, Programa Regional de Cuidados Paliativos de Extremadura, Badajoz, Spain