J Wound Manag Res.  2020 Jun;16(2):106-112. 10.22467/jwmr.2020.01067.

Ulcerative Skin Metastasis Lesion in Non-Small Cell Lung Cancer

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Seoul, Korea
  • 2Department of Pathology, Konkuk University Medical Center, Seoul, Korea

Abstract

Venous ulcers, ischemic wounds and skin lesions from autoimmune diseases are some examples of unhealing wounds. Practitioners treating such wounds should consider the possibility of skin metastasis of neoplasms, especially in patients with cancer. Treatment of cutaneous metastasis in cancer must include both surgical resection and chemotherapy. Here we present a patient who had lung cancer with skin metastasis. Though incidence of metastasis from lung cancer is known to be as low as 1% to 12%, its prognosis is poor. Also, the clinical features of these skin lesions tend to vary, often resulting in them being misdiagnosed as benign lesions. The diagnosis of malignancy for this particular case was delayed. After the metastatic lesion was diagnosed as such, surgical resection was performed and the defect caused by wide excision was covered by a superior gluteal artery perforator flap. Though the patient was administered an anticancer drug, the wound healed well after the operation.

Keyword

Skin neoplasms; Neoplasm metastasis; Perforator flap
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