Uncommon metastases in bronchogenic carcinoma

Authors

  • Drialis Díaz Garrido Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas " Salvador Allende". Hospital Neumológico Benéfico-Jurídico
  • Manuel Díaz Toledo Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas " Salvador Allende". Hospital Neumológico Benéfico-Jurídico
  • Donel González Díaz Donel González Díaz Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas " Salvador Allende". Hospital Neumológico Benéfico-Jurídico

Keywords:

Metástasis cutáneas y óseas, carcinoma broncogénico, enfermedad avanzada, evolución desfavorable.

Abstract

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.

Keywords: skin and bone metastases; bronchogenic carcinoma; advanced disease; unfavorable evolution

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Author Biographies

Drialis Díaz Garrido, Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas " Salvador Allende". Hospital Neumológico Benéfico-Jurídico

Especialista de primer grado en Neumología y MGI. Msc. Urgencias médicas. Instructora

Manuel Díaz Toledo, Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas " Salvador Allende". Hospital Neumológico Benéfico-Jurídico

Especialista de segundo grado en Neumología y MGI. Msc Longevidad Satisfactoria. Asistente.mdtoledo@infomed.sld.cu

Donel González Díaz Donel González Díaz, Universidad de Ciencias Médicas de La Habana. Facultad de Ciencias Médicas " Salvador Allende". Hospital Neumológico Benéfico-Jurídico

Especialista de primer grado en Neumología y  MGI

Published

2020-06-15

How to Cite

1.
Díaz Garrido D, Díaz Toledo M, Donel González Díaz DGD. Uncommon metastases in bronchogenic carcinoma. Rev Cubana Med [Internet]. 2020 Jun. 15 [cited 2025 Feb. 7];60(1). Available from: https://revmedicina.sld.cu/index.php/med/article/view/1355

Issue

Section

Case Reports

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