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Squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report
BACKGROUND: Our patient presents with a novel presentation of a fungated ulcerated skin lesion as the initial presentation of lung cancer. The literature describes skin metastases from lung cancer as nodular, papular, and zosteriform. Our case is a fungating ulcerated skin lesion which is not widely...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9040228/ https://www.ncbi.nlm.nih.gov/pubmed/35468849 http://dx.doi.org/10.1186/s13256-022-03352-4 |
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author | Chisenga, Rose Adenwala, Tasneem Kim, William Mujuni, Daniel Samuel, Rachel |
author_facet | Chisenga, Rose Adenwala, Tasneem Kim, William Mujuni, Daniel Samuel, Rachel |
author_sort | Chisenga, Rose |
collection | PubMed |
description | BACKGROUND: Our patient presents with a novel presentation of a fungated ulcerated skin lesion as the initial presentation of lung cancer. The literature describes skin metastases from lung cancer as nodular, papular, and zosteriform. Our case is a fungating ulcerated skin lesion which is not widely reported in literature. There is a still a need for more data on the clinical presentation and prognosis of such cases as it will elucidate the diagnostic challenges and treatment management. CASE PRESENTATION: We present a case of a 55 year old Caucasian male with a 60-pack-year smoking history initially presenting with a nodule on his right upper back that quickly fungated and ulcerated requiring surgical excision. Biopsy of both the skin lesion and the lung mass confirmed squamous cell carcinoma (SCC) and the lung mass being the primary tumor. The patient’s clinical and functional status severely declined during his hospital stay and was later discharged to hospice without therapeutic intervention. He later expired a month after hospice stay. CONCLUSIONS: Although uncommon, this case clearly illustrates that skin metastases can be the initial finding of primary lung cancer and that not all patients with lung cancer will present with bronchopulmonary symptoms. It also illustrates that a fungating ulcerated lesion can be the initial presentation of lung cancer in addition to nodular, papular, and zosteriform presentations noted in the literature. |
format | Online Article Text |
id | pubmed-9040228 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-90402282022-04-27 Squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report Chisenga, Rose Adenwala, Tasneem Kim, William Mujuni, Daniel Samuel, Rachel J Med Case Rep Case Report BACKGROUND: Our patient presents with a novel presentation of a fungated ulcerated skin lesion as the initial presentation of lung cancer. The literature describes skin metastases from lung cancer as nodular, papular, and zosteriform. Our case is a fungating ulcerated skin lesion which is not widely reported in literature. There is a still a need for more data on the clinical presentation and prognosis of such cases as it will elucidate the diagnostic challenges and treatment management. CASE PRESENTATION: We present a case of a 55 year old Caucasian male with a 60-pack-year smoking history initially presenting with a nodule on his right upper back that quickly fungated and ulcerated requiring surgical excision. Biopsy of both the skin lesion and the lung mass confirmed squamous cell carcinoma (SCC) and the lung mass being the primary tumor. The patient’s clinical and functional status severely declined during his hospital stay and was later discharged to hospice without therapeutic intervention. He later expired a month after hospice stay. CONCLUSIONS: Although uncommon, this case clearly illustrates that skin metastases can be the initial finding of primary lung cancer and that not all patients with lung cancer will present with bronchopulmonary symptoms. It also illustrates that a fungating ulcerated lesion can be the initial presentation of lung cancer in addition to nodular, papular, and zosteriform presentations noted in the literature. BioMed Central 2022-04-26 /pmc/articles/PMC9040228/ /pubmed/35468849 http://dx.doi.org/10.1186/s13256-022-03352-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Chisenga, Rose Adenwala, Tasneem Kim, William Mujuni, Daniel Samuel, Rachel Squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report |
title | Squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report |
title_full | Squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report |
title_fullStr | Squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report |
title_full_unstemmed | Squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report |
title_short | Squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report |
title_sort | squamous cell carcinoma of the lung presenting as a fungating ulcerated skin lesion: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9040228/ https://www.ncbi.nlm.nih.gov/pubmed/35468849 http://dx.doi.org/10.1186/s13256-022-03352-4 |
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