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Case Report
First presentation of metastatic lung cancer as groin necrotizing fasciitis
1 MBBS, M. Surg (Sydney), Clinical Lecturer, University of Tasmania, Launceston General Hospital, Launceston, Tasmania, Australia
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Christopher Cheong
MBBS, M. Surg (Sydney), Clinical Lecturer, University of Tasmania, Launceston General Hospital, Launceston, Tasmania,
Australia;
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Article ID: 100119Z12CC2023
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Cheong C. First presentation of metastatic lung cancer as groin necrotizing fasciitis. J Case Rep Images Surg 2023;9(1):17–19.ABSTRACT
Introduction: A B is a 64-year-old female who presented to the emergency department with fever, chill, and a swollen tender lump in the groin. She had a high white cell count of 14.0 × 109/L and a C-reactive protein (CRP) of 190 mg/L. She proceeded to have an urgent computed tomography (CT) scan.
Case Report: A B had a past medical history of poorly controlled diabetes (HbA1c = 11%) which she was non-compliant to medication. She also had an 80-pack year smoking history. A CT scan performed showed severe cellulitis with a collection with a suggestion of necrotizing fasciitis. She was taken to theater urgently for debridement. Histological examination of the debrided tissue however showed poorly differentiated adenocarcinoma which was consistent with metastatic lung adenocarcinoma.
Conclusion: This is the first case recorded of lung cancer with metastasis to the groin and presenting as a necrotizing soft tissue infection.
Keywords: Lung adenocarcinoma, Lung cancer, Metastasis, Necrotizing fasciitis, Poorly differentiated
SUPPORTING INFORMATION
Author Contributions
Christopher Cheong - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthor declares no conflict of interest.
Copyright© 2023 Christopher Cheong. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
