皮肤性病诊疗学杂志2025，Vol.32Issue(12)：886-889,4.DOI:10.3969/j.issn.1674-8468.2025.12.007
易误诊为带状疱疹的皮肤转移癌1例
A case of cutaneous metastatic carcinoma misdiagnosed as herpes zoster
ZHANG Xuelei 1HU Honghua 1ZHOU Sen 1LIU Lunfei1
作者信息
- 1. Fourth Affiliated Hospital of Zhejiang University School of Medicine,Yiwu 322000,China
- 折叠
摘要
Abstract
We present a case of cutaneous metastatic carcinoma that was initially misdiagnosed as herpes zoster.A 74-year-old male experienced painful erythemas,papules,and nodules on the right thoracic and dorsal regions for over two months.He had a history of small cell lung cancer with multiple lymph node metastases for more than two years.Prior to this visit,he had been re-ceiving anti-tumor treatment with adibelimab and docetaxel.Dermatological examination showed a band-like distribution of erythemas,papules,and nodules on the right chest and back.The le-sions appeared pale red to pink,smooth,and firm in texture,with some resembling a"pseudobul-lous"appearance.Histopathological examination of the skin lesion showed atypical cell infiltration in the subcutaneous fibrous stroma.Immunohistochemistry demonstrated CK(+)and P40(+).Diagnosis:Metastatic cutaneous squamous cell carcinoma(T4N3M1 Stage Ⅳ).The oncology de-partment administered IMRT radiotherapy to the thoracic and dorsal skin areas,at a dose of 60Gy/30f.A comprehensive assessment of the patient's multiple pulmonary metastases indicated end-stage cancer.Despite aggressive treatment,the disease was poorly controlled,leading to death.关键词
皮肤转移癌/带状疱疹/肺癌Key words
cutaneous metastatic carcinoma/herpes zoster/lung cancer引用本文复制引用
ZHANG Xuelei,HU Honghua,ZHOU Sen,LIU Lunfei..易误诊为带状疱疹的皮肤转移癌1例[J].皮肤性病诊疗学杂志,2025,32(12):886-889,4.
