肺鱗狀上皮細胞癌皮膚轉移：病例報告及文獻回顧

Squamous Cell Carcinoma of the Lung with Shin Metastasis

吳亮遠(Liang-Yuan Wu) ； 陳佑甫(Yu-Fu Chen) ； 洪志明(Chih-Ming Hung) ； 張菡(Han Chang)

《秀傳醫學雜誌》 1卷1期 (1998/10) Pp. 49-52

摘要

70歲男性病人主訴在頭皮及右前臂有3個逐漸變大的不痛性硬塊，約有一個多月。理學檢查發現在頭皮上有1個直徑2cm和另1個直徑1.2cm肉色、圓形、表面有輕微潰瘍的硬性結節，在右手臂皮膚上有1個直徑1.2cm，外觀類似的結節。組織病理學檢查顯示為轉移性分化不良的鱗狀上皮細胞癌。他是位老菸槍曾經罹患肺癌。原發病灶為左上肺葉分化不良的鱗狀上皮細胞癌根據病史及原發與轉移性病灶病理變化相近，我們診斷為肺癌的皮膚轉移。病患於1個月後死亡。

關鍵字

皮膚轉移 ； 肺癌 ； 鱗狀上皮細胞癌

並列摘要

A 70-year-old man presented with three enlarging, painless skin masses on his scalp and right forearm for more than one month. Physical examination showed a 2 cm and 1.2 cm in diameter, flesh-colored, round, firm nodules with slightly ulcerated surface on the scalp, and a 1.2 cm nodule with the similar morphology on the skin of the right forearm. Histopathological examination revealed a metastatic poorly differentiated squamous cell carcinoma. He was a heavy smoker with a history of lung cancer. that was proven as a poorly-differentiated squamous cell carcinoma in the left upper lung. Based on the history and the similarity of the histologic features between the primary lesion and the cutaneous metastatic lesion, the diagnosis of cutaneous metastasis from lung cancer was made. The patient died one month later.

並列關鍵字

skin metastasis ； lung cancer ； squamons cell carcinoma