Scalp metastasis as the first sign of small-cell lung cancer: management and literature review.

Abstract:

:Cutaneous metastasis from primary visceral malignancy is a relatively uncommon clinical entity, with a reported incidence ranging from 0.22% to 10% among various series. However, the presence of cutaneous metastasis as the first sign of a clinically silent visceral cancer is exceedingly rare. We describe here a case of an asymptomatic male patient who presented with a solitary scalp metastasis as the initial manifestation of an underlying small-cell lung cancer. Diagnostic evaluation revealed advanced disease. We conclude that the possibility of metastatic skin disease should always be considered in the differential diagnosis in patients with a history of smoking or lung cancer presenting with cutaneous nodules. Physicians should be aware of this rare clinical entity, and appropriate investigation should be arranged for early diagnosis and initiation of the appropriate treatment. The prognosis for most patients remains poor.

journal_name

Int Surg

journal_title

International surgery

authors

Salemis NS,Veloudis G,Spiliopoulos K,Nakos G,Vrizidis N,Gourgiotis S

doi

10.9738/INTSURG-D-13-00070.1

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

325-9

issue

4

eissn

0020-8868

issn

2520-2456

journal_volume

99

pub_type

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