title: Multiple cutaneous nodules as the presenting sign of small cell lung cancer.
abstract: We describe a 67-year-old male smoker who presented with an 8 week history of productive cough, dyspnoea on minimal exertion, weight loss of 8 kg and multiple painful cutaneous nodules of varying size and morphology. A chest radiograph showed a mass at the right hilum. A CT examination showed extensive mediastinal lymphadenopathy with encasement of the lower trachea, carina and left main bronchus. The left main bronchus was 95% stenosed and there were multiple liver metastases. Innumerable cutaneous nodules were also seen. A biopsy of one of the cutaneous nodules confirmed metastases from a neuroendocrine lung primary tumour, consistent with extensive stage small cell lung cancer. The patient died soon after diagnosis.
authors.affiliation: Department of Respiratory Medicine, Mercy University Hospital, Cork, Ireland.
authors.forename: David
authors.initials: D
authors.lastname: Brinkman
authors.forename: Lisa
authors.initials: L
authors.lastname: Roche
authors.forename: Khalil
authors.initials: K
authors.lastname: Ullah
authors.forename: Terence M
authors.initials: TM
authors.lastname: O'Connor
mesh_terms: D000368:Aged; D001980:Bronchi / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary; D008168:Lung / Q000473:pathology*; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000209:etiology; D008297:Male; D012867:Skin / Q000473:pathology*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000556:secondary*; D055752:Small Cell Lung Carcinoma / Q000175:diagnosis / Q000473:pathology*; D014132:Trachea / Q000473:pathology