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Our initial suspicion was of keratoacanthoma, so it was decided to remove it completely after the patient's consent and it was sent to the pathology department, whose pathology report detected a lesion compatible with metastasis of adenocarcinoma, without being able to determine the origin of the lesion.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The patient denied symptoms and the examination was unremarkable, so an imaging test (thoracoabdominal CT) was requested, where a 25 mm spiculated nodule was found in the apicoposterior segment of the LUL, suggestive of primary adenocarcinoma with hilar lymphadenopathies, pulmonary artery invasion and right paratracheal lymphadenopathy (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>, arrows).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The incidence of cutaneous metastases ranges from 0.7% to 9%, and they usually occur in the late stages of the disease. Breast cancer and lung adenocarcinoma are the two types of cancer that cause the most cutaneous dissemination in women and men, respectively.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Most of these lesions occur as one or more hard, painless, fast-growing nodules, although the form of presentation may be any elementary lesion.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical considerations</span><p id="par0025" class="elsevierStylePara elsevierViewall">This is a clinical case where the patient's express informed consent has been obtained.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">No funding has been obtained for this work.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors of the manuscript declare that there is no potential conflict of interest related to this manuscript.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethical considerations" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 679 "Ancho" => 512 "Tamanyo" => 44311 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 496 "Ancho" => 1200 "Tamanyo" => 91099 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016200000002/v2_202401240540/S2387020623005405/v2_202401240540/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016200000002/v2_202401240540/S2387020623005405/v2_202401240540/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623005405?idApp=UINPBA00004N" ]
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Image in medicine
Dermal lesion as the first sign of adenocarcinoma of the lung
Lesión dérmica como primer signo del adenocarcinoma de pulmón
Irene Salazar Bruque
, Ángeles Merchán Cruz, Marta Pérez Barragán
Corresponding author
Centro de Salud Algarrobo, UGC Algarrobo, AGS Este de Málaga-Axarquía, Algarrobo, Málaga, Spain