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Zosteriform Skin Metastasis of Lung CancerZosteriform Skin Metastasis of Lung Cancer

Wen-Hao Li, MD; Chih-Yen Tu, MD; Te-Chun Hsieh, MD; Po-Yuan Wu, MD
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From the Department of Dermatology (Drs Li and Wu), School of Medicine (Dr Wu), and Department of Public Health (Dr Wu), China Medical University, and Division of Pulmonary and Critical Care Medicine (Dr Tu), Department of Internal Medicine, and Department of Nuclear Medicine and PET Center (Dr Hsieh), China Medical University Hospital, Taichung, Taiwan.

Correspondence to: Po-Yuan Wu, MD, Department of Dermatology, China Medical University Hospital, 2 Yuh Der Rd, Taichung 404, Taiwan; e-mail: wu.poyuan@gmail.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2012;142(6):1652-1654. doi:10.1378/chest.11-2898
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Skin metastasis from internal organ malignancy has a 5% to about 10% incidence, and zosteriform metastasis is much rarer. We present the case of a 51-year-old male smoker initially given a diagnosis of right lower lung adenocarcinoma T2N3M0 who developed new-onset zosteriform skin metastasis over the right-side T3∼T5 dermatomes documented by skin biopsy specimen. The probable mechanism for this band-distributed skin metastasis is the retrograde flow of lymph after obstruction by cancer cells. Such a phenomenon may be demonstrated by lymphoscintigraphy.

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