Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review

Lung cancer is one of the most common cancers in America. Frequent sites of metastasis include the Hilar lymph nodes, adrenal glands, liver, brain, and bone. The following case report is of a primary lung cancer with metastases to the breast and skin. Case. A 48-year-old African American male with a...

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Main Authors: Bikash Bhattarai, Marie Frances Schmidt, Meenakshi Ghosh, Abhisekh Sinha Ray, Saveena Manhas, Vikram Oke, Chidozie Charles Agu, Md. Rawshan Basunia, Danilo Enriquez, Joseph Quist, Catherine Bianchi, Ravi Hans, Saroj Kandel
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2015/136970
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author Bikash Bhattarai
Marie Frances Schmidt
Meenakshi Ghosh
Abhisekh Sinha Ray
Saveena Manhas
Vikram Oke
Chidozie Charles Agu
Md. Rawshan Basunia
Danilo Enriquez
Joseph Quist
Catherine Bianchi
Ravi Hans
Saroj Kandel
author_facet Bikash Bhattarai
Marie Frances Schmidt
Meenakshi Ghosh
Abhisekh Sinha Ray
Saveena Manhas
Vikram Oke
Chidozie Charles Agu
Md. Rawshan Basunia
Danilo Enriquez
Joseph Quist
Catherine Bianchi
Ravi Hans
Saroj Kandel
author_sort Bikash Bhattarai
collection DOAJ
description Lung cancer is one of the most common cancers in America. Frequent sites of metastasis include the Hilar lymph nodes, adrenal glands, liver, brain, and bone. The following case report is of a primary lung cancer with metastases to the breast and skin. Case. A 48-year-old African American male with a past medical history of poorly differentiated left breast cancer status after modified radical mastectomy (MRM), chronic obstructive pulmonary disease, and smoking (20 pack-years) presents to the ER with progressive shortness of breath on exertion, upper back pain, and weight loss for 2 months in duration. On physical examination he is found to have a MRM scar on his left breast and a left periumbilical cutaneous mass. Chest X-ray and chest CT reveal a right upper lobe mass and biopsies from the breast, lung, and the periumbilical mass indicate a poorly differentiated carcinoma of unclear etiology; all tumor markers are negative. The patient is male and a chronic smoker; therefore the diagnosis is made as lung carcinoma with metastases to the breast and skin. Conclusion. A high index of suspicion for cutaneous metastases should be cast when investigating cutaneous pathologies in patients at risk for primary lung malignancy.
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spelling doaj-art-d644ec28c4494ac3b52654849da434e02025-02-03T05:51:41ZengWileyCase Reports in Pulmonology2090-68462090-68542015-01-01201510.1155/2015/136970136970Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature ReviewBikash Bhattarai0Marie Frances Schmidt1Meenakshi Ghosh2Abhisekh Sinha Ray3Saveena Manhas4Vikram Oke5Chidozie Charles Agu6Md. Rawshan Basunia7Danilo Enriquez8Joseph Quist9Catherine Bianchi10Ravi Hans11Saroj Kandel12Department of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USALung cancer is one of the most common cancers in America. Frequent sites of metastasis include the Hilar lymph nodes, adrenal glands, liver, brain, and bone. The following case report is of a primary lung cancer with metastases to the breast and skin. Case. A 48-year-old African American male with a past medical history of poorly differentiated left breast cancer status after modified radical mastectomy (MRM), chronic obstructive pulmonary disease, and smoking (20 pack-years) presents to the ER with progressive shortness of breath on exertion, upper back pain, and weight loss for 2 months in duration. On physical examination he is found to have a MRM scar on his left breast and a left periumbilical cutaneous mass. Chest X-ray and chest CT reveal a right upper lobe mass and biopsies from the breast, lung, and the periumbilical mass indicate a poorly differentiated carcinoma of unclear etiology; all tumor markers are negative. The patient is male and a chronic smoker; therefore the diagnosis is made as lung carcinoma with metastases to the breast and skin. Conclusion. A high index of suspicion for cutaneous metastases should be cast when investigating cutaneous pathologies in patients at risk for primary lung malignancy.http://dx.doi.org/10.1155/2015/136970
spellingShingle Bikash Bhattarai
Marie Frances Schmidt
Meenakshi Ghosh
Abhisekh Sinha Ray
Saveena Manhas
Vikram Oke
Chidozie Charles Agu
Md. Rawshan Basunia
Danilo Enriquez
Joseph Quist
Catherine Bianchi
Ravi Hans
Saroj Kandel
Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review
Case Reports in Pulmonology
title Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review
title_full Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review
title_fullStr Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review
title_full_unstemmed Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review
title_short Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review
title_sort lung cancer with skin and breast metastasis a case report and literature review
url http://dx.doi.org/10.1155/2015/136970
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