Wang Yu, Xue Ruzeng
Department of Dermatology, Dermatology Hospital, Southern Medical University, Guangzhou, China.
Department of Dermatology, Guangdong Provincial Dermatology Hospital, Guangzhou, China.
Case Rep Dermatol Med. 2020 Aug 12;2020:8880604. doi: 10.1155/2020/8880604. eCollection 2020.
Cutaneous metastases are unusual presenting symptoms of lung cancer. Therefore, they are prone to be misdiagnosed and missed. The report describes a case of a forty-nine-year-old female with painful zosteriform rashes showing multiple vesicle-like papules localized on the left breast for 10 days. The patient had been diagnosed as lung adenocarcinoma at the department of oncology one year ago. Skin biopsy revealed blue nodular lesions in the dermis, composed of clustered heterogeneous tumor cells with glandular formation. Immunohistochemical stains confirmed the diagnosis of metastatic lung adenocarcinoma.
皮肤转移瘤是肺癌不常见的症状表现。因此,它们容易被误诊和漏诊。本报告描述了一例49岁女性患者,其出现疼痛性带状疱疹样皮疹,左侧乳房出现多个水疱样丘疹,持续10天。该患者一年前在肿瘤科被诊断为肺腺癌。皮肤活检显示真皮层有蓝色结节性病变,由聚集的异质性肿瘤细胞组成,并形成腺管。免疫组化染色确诊为转移性肺腺癌。