CHSJ

Curr Health Sci J, vol. 44, no. 4, 2018

Non-Specific Onset of Pulmonary Adenocarcinoma

[Case Report]

KAMAL CONSTANTIN KAMAL(1), LIGIA FLOREA(1), DIANA KAMAL(2), DRAGOS OVIDIU ALEXANDRU(3), ADINA MARIA KAMAL(4)


(1)Department of Family Medicine, University of Medicine and Pharmacy of Craiova, Romania
(2)Elga Clinic & University of Medicine and Pharmacy of Craiova, Romania
(3)Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Craiova, Romania
(4)Departament of Clinical Nursing-Internal Medicine, University of Medicine and Pharmacy of Craiova, Romania


Abstract:

Skin metastases are rarely found in lung cancer compared to other types of neoplasia. Of the types of lung cancer that can have skin metastases, the most common one is adenocarcinoma. Pulmonary cancer metastasizing to the skin has poor prognosis, usually the survival rate of the patients is 4-6 months. We present the case of a 59-year-old woman, smoker, high blood pressure, dyslipidemia, with two skin ertitemato-nodular lesions, incompletely delimited, with a diameter of 4-5cm, in the left arm (1/3 medio-external) and left latero-thoracic (near IV intercostal space) area, discovered during a regular medical examination at her family doctor’s practice. After multiple clinical and paraclinical investigations, almost 3 months after the initial presentation, the patient was diagnosed with stage IV pulmonary adenocarcinoma with supra and subdiaphragmatic lymph-node metastases, soft tissue metastases, liver metastases and breast metastases. Oncological treatment was initiated, but the patient's progression was unfavorable, her passing occurring 6 months after being diagnosed.


Keywords: Lung adenocarcinoma, skin lesions, metastases



Corresponding: Diana Kamal, University of medicine and Pharmacy of Craiova, Elga Clinic, Str. Mihai Eminescu Nr. 32, 200131 Craiova, Romania, e-mail: dianakamal84@gmail.com


DOI 10.12865/CHSJ.44.04.10 - Download PDF
current issue cover Download cover
Download contents

Journal archive