He Wenbo, Gao Mingjun, Ren Qinglin, Wang Mengmeng, Zhou Siding, Wang Xiaolin, Shu Yusheng
Yangzhou University, Yangzhou 225000, China.
Dalian Medical University, Dalian 116000, China.
Zhongguo Fei Ai Za Zhi. 2024 Apr 20;27(4):321-324. doi: 10.3779/j.issn.1009-3419.2024.101.11.
Distant cutaneous metastasis of primary lung squamous cell carcinoma is an exceedingly rare event, with scalp metastasis as the initial clinical presentation even rarer. Scalp skin metastases are prone to be misdiagnosed as other scalp disorders, yet their appearance signifies the deterioration and poor prognosis of lung cancer. This case report documents a female patient presenting initially with scalp folliculitis in dermatology, who was subsequently diagnosed with malignant lung tumor through radiological imaging and referred to Department of Thoracic Surgery. Pathological examination of the excised lesion from the scalp revealed distant metastasis of lung cancer. A review of similar cases reported in literature was conducted. This article aims to enhance understanding and awareness of skin metastasis in lung cancer, to emphasize the importance of this condition, and to improve early recognition and precise diagnosis. It is crucial to prevent clinical misdiagnosis and ensure appropriate treatment, finally leading to improve the prognosis of the patients. .
原发性肺鳞状细胞癌的远处皮肤转移极为罕见,以头皮转移作为首发临床表现的情况更为罕见。头皮皮肤转移易被误诊为其他头皮疾病,但其出现标志着肺癌病情恶化及预后不良。本病例报告记录了一名女性患者,最初因头皮毛囊炎在皮肤科就诊,随后经影像学检查被诊断为恶性肺肿瘤,并转诊至胸外科。对切除的头皮病变进行病理检查,结果显示为肺癌远处转移。同时对文献报道的类似病例进行了回顾。本文旨在提高对肺癌皮肤转移的认识和重视,强调其重要性,改善早期识别和准确诊断。预防临床误诊并确保恰当治疗至关重要,最终可改善患者预后。