1
|
Eckardt J, Aebischer V, Häfner HM, Kofler L, Pietschke K, Forchhammer S. [An erythematous nodule on the nasal tip]. DERMATOLOGIE (HEIDELBERG, GERMANY) 2022; 73:659-662. [PMID: 34918179 DOI: 10.1007/s00105-021-04925-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/24/2021] [Indexed: 12/13/2022]
Affiliation(s)
- Julia Eckardt
- Klinik für Dermatologie, Venerologie und Allergologie, Charité Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Deutschland. .,Universitäts-Hautklinik Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Deutschland.
| | - Valentin Aebischer
- Universitäts-Hautklinik Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Deutschland
| | - Hans-Martin Häfner
- Universitäts-Hautklinik Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Deutschland
| | - Lukas Kofler
- Universitäts-Hautklinik Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Deutschland
| | - Katharina Pietschke
- Universitäts-Hautklinik Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Deutschland
| | - Stephan Forchhammer
- Universitäts-Hautklinik Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Deutschland
| |
Collapse
|
2
|
Lopes Alexandre P, Matos R, Marques A, Silveira H, Santos Marques P, Pinto Moura C. Clown Nose: A Rare Hypopharyngeal Cancer Metastasis. EAR, NOSE & THROAT JOURNAL 2022:1455613211069349. [PMID: 34983248 DOI: 10.1177/01455613211069349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Cutaneous metastases from squamous cell carcinomas of the head and neck region are uncommon, and their location at the nasal tip is exceptionally rare. A patient, previously treated with surgery and chemoradiation for a hypopharyngeal squamous cell carcinoma, developed several red nodular skin lesions at the nasal tip. Biopsy revealed cutaneous metastasis from the primary tumor. This manifestation was previously described as a "clown nose," given their appearance and location. Skin lesions should raise suspicion of malignancy, despite their location at uncommon places, particularly in patients with previous diagnosed cancer. Clinicians must be aware that metastases from head and neck cancer can present as a "clown nose."
Collapse
Affiliation(s)
- Pedro Lopes Alexandre
- Department of Otorhinolaryngology, 285211São João University Hospital Center, Porto, Portugal
- Department of Surgery and Physiology, 26705Faculty of Medicine of Porto University, Porto, Portugal
| | - Ricardo Matos
- Department of Otorhinolaryngology, 285211São João University Hospital Center, Porto, Portugal
- Department of Surgery and Physiology, 26705Faculty of Medicine of Porto University, Porto, Portugal
| | - Ana Marques
- Department of Pathology, 285211São João University Hospital Center, Porto, Portugal
| | - Helena Silveira
- Department of Otorhinolaryngology, 285211São João University Hospital Center, Porto, Portugal
- Department of Surgery and Physiology, 26705Faculty of Medicine of Porto University, Porto, Portugal
| | - Pedro Santos Marques
- Department of Otorhinolaryngology, 285211São João University Hospital Center, Porto, Portugal
- Department of Surgery and Physiology, 26705Faculty of Medicine of Porto University, Porto, Portugal
| | - Carla Pinto Moura
- Department of Otorhinolaryngology, 285211São João University Hospital Center, Porto, Portugal
- Department of Genetics, Faculty of Medicine of Porto University, 285211São João University Hospital Center, Porto, Portugal
- I3S, Institute for Research and Innovation in Health, Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal
| |
Collapse
|
3
|
Bolewska A, Słowińska M, Błońska A, Ceryn J, Grala B, Narbutt J, Ciążyńska M, Małecki W, Skibińska M, Lesiak A, Paluchowska E, Owczarek W. Tumor of the Nose - A Rare Manifestation of a Metastatic Lung Cancer. Clin Cosmet Investig Dermatol 2021; 14:1311-1318. [PMID: 34584435 PMCID: PMC8464336 DOI: 10.2147/ccid.s318748] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 08/05/2021] [Indexed: 12/14/2022]
Abstract
Lung cancer most often metastasizes to the central nervous system, bone and liver. Although metastases to the skin are quite rare, it is estimated that they may be the first clinical manifestation of this disease in 0.7%–12% of cases. Metastases to the skin are caused by adenocarcinoma (about 30%), squamous cell carcinoma (30%) and undifferentiated carcinoma (40%). Nasal tip metastases are extremely rare. They can be confused with more common skin problems, including non-melanoma skin cancers, rhinophyma, inflammatory tumors or infectious diseases. We report two patients with a tumor on the nose, which proved to be the first sign of the metastatic lung cancer.
Collapse
Affiliation(s)
| | - Monika Słowińska
- Department of Dermatology, Military Institute of Medicine, Warsaw, Poland
| | - Agata Błońska
- Department of Dermatology, Military Institute of Medicine, Warsaw, Poland
| | - Justyna Ceryn
- Department of Dermatology, Pediatric Dermatology and Oncology, Medical University of Lodz, Łódź, Poland
| | - Bartłomiej Grala
- Department of Pathology, Military Institute of Medicine, Warsaw, Poland
| | - Joanna Narbutt
- Department of Dermatology, Pediatric Dermatology and Oncology, Medical University of Lodz, Łódź, Poland
| | - Magdalena Ciążyńska
- Department of Proliferative Diseases, Nicolaus Copernicus Multidisciplinary Centre for Oncology and Traumatology, Łódź, Poland
| | - Wojciech Małecki
- Department of Clinical Oncology and Chemotherapy, Poddębice Health Centre, Poddębice, Poland
| | - Małgorzata Skibińska
- Department of Dermatology, Pediatric Dermatology and Oncology, Medical University of Lodz, Łódź, Poland
| | - Aleksandra Lesiak
- Department of Dermatology, Pediatric Dermatology and Oncology, Medical University of Lodz, Łódź, Poland
| | - Elwira Paluchowska
- Department of Dermatology, Military Institute of Medicine, Warsaw, Poland
| | - Witold Owczarek
- Department of Dermatology, Military Institute of Medicine, Warsaw, Poland
| |
Collapse
|
4
|
Enigmatic Rapidly Enlarging Nasal Mass That Is Not Cancer. Case Rep Dermatol Med 2020; 2020:8855572. [PMID: 32908718 PMCID: PMC7471822 DOI: 10.1155/2020/8855572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 08/04/2020] [Accepted: 08/14/2020] [Indexed: 11/21/2022] Open
Abstract
Cutaneous blastomycosis is not rare, but progressively enlarging nasal mass as the only presentation with nondiagnostic biopsy results, presence of pulmonary fibrosis, nodules and lymphadenopathy, and urinary sediments, as well as ANA and p-ANCA positivity, can make things more cryptic than expected.
Collapse
|