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Revista Cubana de Medicina

versión impresa ISSN 0034-7523versión On-line ISSN 1561-302X

Resumen

DIAZ GARRIDO, Drialis; DIAZ TOLEDO, Manuel  y  GONZALEZ DIAZ, Donel. Uncommon metastases in bronchogenic carcinoma. Rev cubana med [online]. 2021, vol.60, n.1, e1355.  Epub 25-Feb-2021. ISSN 0034-7523.

Introduction:

The lung is the organ with the greatest location of disease and tumor mortality. At the time of diagnosis, 55% of the cases present distant metastases, which implies an advanced stage of the disease. Cutaneous and distal bone metastases from internal neoplasms are rare compared to those produced in other viscera. Cutaneous invasion can occur by direct extension of underlying structures and usually settle in the anterior chest wall, by accidental implantation in diagnostic maneuvers, lymphatic and hematogenous embolization with possible lesions in very distant areas and whose appearance is usually earlier. Histologically, it is undifferentiated lung cancer that most frequently metastasizes to the skin.

Objective:

To report two cases with a diagnosis of non-small cell lung carcinoma that developed metastases in infrequent locations.

Case report:

Two cases are reported with rare metastases from bronchogenic carcinoma. The first at the nasal level and the second in the metacarpals and soft areas of the left hand, both tumor lesions appeared in the course of oncological treatment for lung cancer. The second case was treated as tendinitis and phlebitis. Both cases progressed to multiple metastases and death.

Conclusions:

There were two cases with infrequent metastases of non-small cell lung carcinoma, and although once diagnosed the prognosis is poor in the short term, they should be taken into account to avoid misdiagnosis and misconduct.

Palabras clave : skin and bone metastases; bronchogenic carcinoma; advanced disease; unfavorable evolution.

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