Sim Ji Hoon, Kim Jung Eun, Lee Sang Hoon, Cho Moon Kyun, Lee Jong Suk, Lee Sung Yul
Department of Dermatology, Soonchunhyang University Hospital, Cheonan, Korea.
Ann Dermatol. 2011 Oct;23(Suppl 2):S179-81. doi: 10.5021/ad.2011.23.S2.S179. Epub 2011 Oct 31.
In this study, we examined a case where lung cancer metastasized to the vulvar area. A 79-year-old woman that was a heavy smoker was referred to our department with a short (two-week) history of dyspnea, and with a painful nodule on her right labium majora, which she had noticed almost three years earlier. Histopathologically, the specimen appeared as a poorly differentiated squamous cell carcinoma. The chest X-ray, chest computerized tomography scan, and percutaneous transthoracic needle biopsy via bronchoscopy revealed squamous cell carcinoma in the right upper lobe of the lung. Based on these clinical and histopathological findings, we concluded that her condition was skin metastasis at the right labium majora from the lung cancer, which occurs very rarely.
在本研究中，我们检查了一例肺癌转移至外阴区域的病例。一名79岁的重度吸烟女性因出现气短（两周）症状且右大阴唇有一个疼痛性结节而被转诊至我科，该结节她在近三年前就已注意到。组织病理学检查显示，标本为低分化鳞状细胞癌。胸部X线、胸部计算机断层扫描以及经支气管镜的经皮经胸针吸活检显示，肺部右上叶存在鳞状细胞癌。基于这些临床和组织病理学发现，我们得出结论，她的病情是肺癌转移至右大阴唇皮肤，这种情况极为罕见。
