Tekrarlayan Aksillar Apse ile Gelen Hastada Malign Epitelyal Tümör

Year 2020, , 137 - 139, 30.08.2020

Mehmet Patmano , Durmuş Ali Çetin , Tufan Gümüş , Özlem Kara

https://doi.org/10.18678/dtfd.728071

Abstract

Deri enfeksiyonları genel cerrahi, dermatoloji ve pediatri polikliniklerinde sık karşılaşılan hastalıklar arasında yer almaktadır. Deri apsesi, dermiste veya subkutan dokuda püy birikmesi sonucunda meydana gelir; şiş, kızarık, hassas, fluktuasyon veren ve çoğunlukla çevresinde selülitin eşlik ettiği bir görünüme sahiptir. Tedavi lokal anestezi altında drenaj sonrasında apse kültürü sonucuna göre öncelikle antibiyotik tedavisidir. Erişkinlerde özellikle tekrarlayan apselerde diyabet, bağışıklık sistemini baskılayan durumlar ve kanser gibi bazı hastalıklar göz önünde bulundurulmalıdır. Primer malignitelerde cilt metastazı gelişimi çok nadirdir. Cilt metastazı nedeni olarak akciğer kanseri ilk sırada yer alır. Bu olgu sunumunda, tedaviye dirençli tekrarlayan apse olgularında primer malignitenin cilt metastazının akılda tutulması gerektiğini vurgulamak istedik.

Keywords

Apse, tümör, cilt metastazı

Malignant Epithelial Tumor in a Patient with Recurrent Axillary Abscess

Abstract

Skin infections are among the common diseases encountered in general surgery, dermatology and pediatrics outpatient clinics. Skin abscess occurs as a result of pus accumulation in the dermis or subcutaneous tissue; it is composed of swollen, red, tender, fluctuating mass and often accompanied by cellulite around them. The treatment is primarily antibiotic therapy according to the abscesses culture result after drainage with local anesthesia. Some of diseases such as diabetes, immunosuppressive conditions and cancer should be considered in adults, especially in recurrent abscesses. Skin metastasis in primary malignancies is very rare. Lung cancer is the most common one with skin metastasis. In this case report, we wanted to emphasize that the skin metastasis of primary malignancy should be kept in mind in cases with recurrent abscess which is resistant to treatment.

Keywords

Abscess, tumor, skin metastasis

References

• Gül Ü. Common bacterial infections of the skin. Ankara Med J. 2016;16(1):98‐114.
• Hedrick J. Acute bacterial skin infections in pediatric medicine: current issues in presentation and treatment. Paediatr Drugs. 2003;5(Suppl 1):35-46.
• Alter SJ, Vidwan NK, Sobande PO, Omoloja A, Bennett JS. Common childhood bacterial infections. Curr Probl Pediatr Adolesc Health Care. 2011;41(10):256-83.
• Vila Justribó M, Casanova Seuma JM, Portero L, Egido R. Skin metastasis as the first manifestation of bronchogenic carcinoma. Arch Bronchopneumol. 1994;30(6):314-6.
• Bhattarai B, Schmidt MF, Ghosh M, Sinha Ray A, Manhas S, Oke V, et al. Lung cancer with skin and breast metastasis: a case report and literature review. Case Rep Pulmonol. 2015;2015:136970.
• Kurt B, Önal M, Erkan L, Samurkaşoğlu B. Akciğer kanserlerinde cilt metastazları. Solunum Hastalıkları. 1996;7:267-71.
• Khaja M, Mundt D, Dudekula RA, Ashraf U, Mehershahi S, Niazi M, et al. Lung cancer presenting as skin metastasis of the back and hand: A case series and literature review. Case Rep Oncol. 2019;12(2),480-7.
• Ichioka S, Yamada A. Ultrasonographic demonstration of a skin metastasis of adenocarsinoma. J Dermatol. 1994;21(9):690-2.
• Pajaziti L, Hapçiu SR, Dobruna S, Hoxha N, Kurshumliu F, Pajaziti A. Skin metastases from lung cancer: a case report. BMC Res Notes. 2015;8(1):139.
• Kanitakis J. Cutaneous metastases of internal cancers. Presse Med. 1993;22(13):631-6.
• Coslett LM, Katlic MR. Lung cancer with skin metastasis. Chest. 1990;97(3):757-9.
• Hidaka T, Ishii Y, Kitamura S. Clinical features of skin metastasis from lung cancer. Intern Med. 1996;35(6):459-62.
• Kamiyoshihara M, Sakata K, Otani Y, Kawashima O, Takahashi T, Morishita Y. Solitary skin metastasis after lung cancer resection. Jpn J Thorac Cardiovasc Surg. 2002;50(8):343-6.
• Dreiezen S, Dhingra HM, Chiuten DF,Umsawasdi T, Valdivieso M. Cutaneous and subcutaneous metastases of lung cancer. Clinical characteristics. Postgrad Med. 1986;80(8):111-6.
• Lookingbill DP, Spangler N, Sexton FM. Skin involvement as the presenting sign of internal carcinoma. A retrospective study of 7316 cancer patients. J Am Acad Dermatol. 1990;22(1):19-26.
• Terashima T, Kanazowa M. Lung cancer with skin metastasis. Chest. 1994;106(5):1448-50.