Hazelrigg D E, Rudolph A H
Arch Dermatol. 1977 Jan;113(1):69-70.
A patient with pulmonary adenocarcinoma had an erythematous inflammatory lesion resembling erysipelas on the chest wall. Results of a skin biopsy disclosed groups of metastatic adenocarcinoma cells in the dermis, subcutaneous tissue, and lumina of the lymphatic vessels. The diagnosis of the inflammatory metastatic carcinoma should be considered in any persistent and therapeutically unresponsive skin eruption that resembles an infectious process. Careful attention to the clinical features, lack of febrile response, and absence of leukocytosis should assist in making the correct diagnosis of a noninfectious process.
一名肺腺癌患者胸壁出现类似丹毒的红斑性炎性病变。皮肤活检结果显示真皮、皮下组织和淋巴管腔内有转移性腺癌细胞群。对于任何持续存在且对治疗无反应、类似感染性过程的皮肤疹，都应考虑炎性转移性癌的诊断。仔细关注临床特征、无发热反应以及无白细胞增多有助于对非感染性过程做出正确诊断。
