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Rare cutaneous metastasis from sarcomatoid carcinoma of lung
  1. Clare Josephine Tollan1,
  2. Colin Moyes2 and
  3. Andrew Malyon1
  1. 1Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, Scotland, UK
  2. 2Pathology Department, Forth Valley Royal Hospital, Larbert, Falkirk, UK
  1. Correspondence to Ms Clare Josephine Tollan; cj_tollan{at}


We present the case of a 57-year-old woman diagnosed with stage 4 sarcomatoid carcinoma of the lung who concurrently developed a scalp lesion, thought to be a cyst, which continued to grow and ulcerate. Excision revealed a rare case, only four previously reported in the literature, of metastatic sarcomatoid carcinoma of the lung. While a very unusual case, we would like to emphasise the importance of considering skin metastases when presented with unusual skin lesions, and importantly listening to the patient’s concerns, showing empathy and respecting their autonomy and referring to an appropriate specialist when considering the management of what may seem to be a minor skin report.

  • dermatology
  • palliative care
  • plastic and reconstructive surgery
  • surgical oncology
  • pathology

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  • Contributors Sections as described by BMJ case reports noted below and initialled for contributions of authors. Conception (AM, CM) and design, acquisition of data or analysis and interpretation of data (CJT). Drafting the article (CJT) or revising it critically for important intellectual content (CJT, CM, AM). Final approval of the version published (CJT, CM, AM). Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved (CJT, CM, AM).

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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