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Scalp metastasis from an adenocarcinoma of the lung mimicking a cystic mass: case report and literature review

  • Kim, Han Koo (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital) ;
  • Kang, Seung Hyun (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital) ;
  • Kim, Woo Seob (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital) ;
  • Kang, Shin Hyuk (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital) ;
  • Kim, Woo Ju (Department of Plastic and Reconstructive Surgery, Chung-Ang University Gwangmyeong Hospital) ;
  • Kim, Hyeon Seok (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital) ;
  • Bae, Tae Hui (Department of Plastic and Reconstructive Surgery, Chung-Ang University Gwangmyeong Hospital)
  • Received : 2022.09.02
  • Accepted : 2022.10.20
  • Published : 2022.10.20

Abstract

A 67-year-old man visited our plastic surgery clinic complaining of a palpable protruding mass (2.0×2.5 cm) in the right occipital region. To establish an appropriate treatment plan for the cystic mass, brain magnetic resonance imaging was performed. A 2.2 cm nodular lesion with peripheral enhancement in the right occipital region of the scalp was confirmed. In addition, two rim-enhancing nodular lesions up to 9 mm with marked perilesional edema in the right frontal lobe were confirmed. The findings suggested metastasis from cancer. After further evaluations, a mass in the right lower lung field was identified as adenocarcinoma of the lung. Histological examination characterized the excised lesion as a cutaneous metastasis from lung adenocarcinoma. This case report shows that a cystic mass, which commonly occurs in the scalp, may indicate lung cancer. In particular, if a cystic mass of the scalp is identified in a person at high risk for lung cancer, appropriate evaluation and urgent treatment should be performed.

Keywords

References

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