Facial skin metastasis due to small-cell lung cancer: a case report


IntroductionCutaneous metastases in the facial region occur in less than 0.5% of patients with metastatic cancer. They are an important finding and are not often the first sign leading to diagnosis.Case presentationWe describe the case of a 64-year-old male patient who presented with dyspnea, pleuritic pain, loss of weight and a nodule on his left cheek.

A chest X-ray revealed a left upper lobe mass with mediastinal lymphadenopathy. Excision biopsy of the facial nodule revealed small-cell lung carcinoma.

Palliative chemo-radiotherapy was administered and the patient survived for 12 months.

Conclusion: A high index of suspicion is necessary for the early detection of facial cutaneous metastases. Appropriate treatment may prolong patient survival.



Author: Nikolaos Barbetakis, Georgios Samanidis, Dimitrios Paliouras, Elpida Samanidou, Zoi Tzimorota, Christos Asteriou, Persefoni Xirou and Christodoulos Tsilikas
Credits/Source: Journal of Medical Case Reports 2009, 3:32



Published on: 2009-01-29



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