title: A Case of Multifocal Skin Metastases from Lung Cancer Presenting with Vasculitic-type Cutaneous Nodule.
abstract: Although cutaneous metastasis occurs usually at the terminal stage of the disease, it may be rarely concurrent with the diagnosis and may also present as the first sign of the illness. A 55-year-old male patient presented with vasculitic-type cutaneous nodular lesions and a necrotic distal phalangeal lesion developed over the last month. He was a tradesman and smoked 40 packets year. On physical examination, he was found to have multiple cutaneous lesions on the skin of the face, limbs, neck, scalp, dorsal side, fingers, subungual side, right leg, and feet. A skin lesion punch biopsy was performed and squamous cell carcinoma metastasis was detected. He was diagnosed as having squamous cell lung cancer with bronchoscopic biopsy. Although it is very rare, cutaneous metastases that is concurrent with the diagnosis of lung cancer may be the first sign of the disease. In patients with suspicious skin lesions, the patient's age, smoking history, and other symptoms should be evaluated and a biopsy should be performed.
authors: Department of Medical Oncology, Cumhuriyet University, Sivas, Turkey.
authors: Nalan Akgul
authors: NA
authors: Babacan
authors: Department of Medical Oncology, Hacettepe University Ankara, Turkey.
authors: Saadettin
authors: S
authors: Kiliçkap
authors: Department of Rheumatology, Erciyes University, Kayseri, Turkey.
authors: Soner
authors: S
authors: Sene
authors: Department of Medical Oncology, Cumhuriyet University, Sivas, Turkey.
authors: Turgut
authors: T
authors: Kacan
authors: Department of Radiation Oncology, Cumhuriyet University, Sivas, Turkey.
authors: Birsen
authors: B
authors: Yucel
authors: Department of Radiation Oncology, Cumhuriyet University, Sivas, Turkey.
authors: Mehmet Fuat
authors: MF
authors: Eren
authors: Department of Medical Oncology, Okmeydanı Education and Research Hospital, Kayseri, Turkey.
authors: Sener
authors: S
authors: Cihan
keywords: Lung cancer; pseudovasculitis; skin metastasis; squamous cell carcinoma