Cutaneous Metastases as an Initial Presentation of Neo Infiltrative Process in the Lungs: Case Report and Literature Review

Abstract

Cutaneous metastases are a rare clinical entity with a representation of about 0.8% as a secondary MS deposit originating from another tissue/organ. Most often, skin metastases are associated with a high degree of malignancy and a poor prognosis. Our case report is a 72-year-old male patient who was referred to CT because of a large soft-tissue cutaneous lesion of the upper right hemithorax, somewhere below the right shoulder joint. At the radio diagnostics department, an MDCT native series and series after i.v. contrast was performed, which allowed us to detect a neo infiltrative process of the lung and secondary deposits in the lung itself, liver, left adrenal gland and along the seventh rib on the left. It was recommended to perform bronchoscopy and biopsy of the lung tissue, for the purpose of further differentiation and further treatment. A pathohistological analysis of the skin change itself was carried out, with an answer for a finding that corresponds to a deposit of a malignant neoplasm with spinous differentiation.