A 36-year-old Japanese male, who 7 years previously had been diagnosed
as having an ependymoma in the left parietal region, had received sur
gery, chemotherapy and radiotherapy. He later developed a rapid growth
of multiple skin lesions on his back and extremities, which coincided
with a regrowth of the tumor. Post-mortem examination revealed that t
he ependymoma showed anaplastic transformation and necrosis; however,
no malignancy was observed in the extracranial organs. The skin lesion
s were histologically diagnosed as seborrheic keratoses. We have, ther
efore, diagnosed the patient as having Leser-Trelat sign associated wi
th anaplastic ependymoma.