Abstract
The solitary skin metastasis from lung cancers is an unusual event, particularly in the scalp. We report a case of 57-year-old male with a history of heavy smoking for nearly 30 years who has experienced hoarseness and easily choking while drinking for about 1 month. Simultaneously developed symptoms of left vocal cord paralysis and a scalp lesion over the right upper vertex were initially noted by an otolaryngologist. A routine chest X-ray demonstrated a nodular density at retrocardiac region of left lower lung that turned out to be a squamous cell carcinoma (SCC) histologically. However, a benign fibrotic change was reported from biopsy of the scalp lesion. An FDG PET/CT was performed for staging of the lung cancer and incidentally found an unusually high uptake of FDG in the scalp lesion. Under tentative diagnosis of malignancy, he received a repeated biopsy of the scalp lesion in reference to the FDG uptake site and confirmed as a metastatic SCC consistent with the primary lung malignancy. The patient survived 9 months after onset of symptoms. We present this rare case here and illustrate clinical usefulness of FDG uptake in allocating sites of biopsy.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.