Alopecia neoplastica in a patient with gastric carcinoma

A well-recognized but rare presentation of scalp metastasis is alopecia neo plastica, which occurs as a single or multiple areas of cicatricial alopeci a, Alopecia neoplastica is usually a presentation of metastasis from breast cancer, and other primary sites are extremely rare, We report a 36-year-ol d woman with alopecia neoplastica due to metastasis from gastric carcinoma, She also had pelvic metastases. An asymptomatic erythematous alopecic plaq ue had developed 10 months before presentation and biopsy was consistent wi th scalp metastasis. Total abdominal hysterectomy and salphingo-oophorectom y was performed and chemotherapy was proposed.