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颈部铠甲样硬斑病样癌的临床病理诊断:肺癌的一种罕见表现

Clinicopathological diagnosis of morphea-like carcinoma en cuirasse in the neck: a rare presentation of lung cancer.

作者信息

Lin Yue, Zhou Shulan, He Wei

机构信息

Dermatology Department, Guiqian International General Hospital, 550018, Guiyang City, Guizhou Province, China.

出版信息

Diagn Pathol. 2025 Feb 11;20(1):16. doi: 10.1186/s13000-025-01611-8.

Abstract

BACKGROUND

Carcinoma en cuirasse is mostly reported in breast cancer. It rarely originates from other visceral tumors such as lung cancer. In this report, we highlight the importance of skin biopsy not to make a misdiagnosis or missed diagnosis.

CASE PRESENTATION

We report a 51-year-old male, diagnosed with lung adenocarcinoma 2 years ago, presenting as swelling and hardening of the face and neck. The patient was diagnosed with carcinoma en cuirasse from lung cancer and was transferred to the oncology department for further management. Unfortunately, the patient gave up treatment after 3 months and died after 1 year of follow-up.

CONCLUSION

In patients with tumors that present as swelling and hardening of the skin, the possibility of skin metastases should be considered, and the necessity of early skin biopsy should be taken into account.

摘要

背景

铠甲样癌大多报道于乳腺癌。它很少起源于其他内脏肿瘤,如肺癌。在本报告中,我们强调皮肤活检对于避免误诊或漏诊的重要性。

病例介绍

我们报告一名51岁男性,2年前被诊断为肺腺癌,现表现为面部和颈部肿胀硬化。该患者被诊断为来自肺癌的铠甲样癌,并被转至肿瘤科进一步治疗。不幸的是,患者3个月后放弃治疗,随访1年后死亡。

结论

对于表现为皮肤肿胀硬化的肿瘤患者,应考虑皮肤转移的可能性,并应考虑早期进行皮肤活检的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030a/11817298/cf9627f7c6d8/13000_2025_1611_Fig1_HTML.jpg

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