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本文报道22例肺癌皮肤转移。18例原发癌及全部转移瘤均经组织病理证实。其特征表现为:8例(36%)有多发和多灶性皮肤转移;大多数转移灶在原发肺癌确诊前已发现且其表现特殊,因而常误诊为皮脂囊肿,血管瘤,带状疱疹,皮肤纤维瘤和皮肤感染;转移性病变(16例)常位于头皮,颈及胸部;病人预后不佳,随访其中15例仅存活2至12个月。最后,对皮肤转移瘤的机理作讨论。
This article reports 22 cases of lung cancer metastasis. 18 cases of primary cancer and all metastases were confirmed by histopathology. Its characteristics are as follows: 8 cases (36%) had multiple and multifocal skin metastases; most of the metastases were found before the diagnosis of primary lung cancer and their performance is very special, so they are often misdiagnosed as sebaceous cysts, hemangiomas, and herpes zoster. , Dermal fibroids and skin infections; metastatic lesions (16 cases) are often located in the scalp, neck and chest; poor prognosis of patients, follow-up of which 15 cases survived only 2 to 12 months. Finally, the mechanism of skin metastases is discussed.