Volume 1, Issue 6, Pages (November 2015)

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Volume 1, Issue 6, Pages 378-380 (November 2015) An unusual presentation of metastatic disease: Cutaneous metastases from pulmonary adenocarcinoma manifesting as widespread plaques Danielle Nicole Brown, BA, Rebecca Chibnall, MD, David Sheinbein, MD, Ilana S. Rosman, MD, Amy Musiek, MD JAAD Case Reports Volume 1, Issue 6, Pages 378-380 (November 2015) DOI: 10.1016/j.jdcr.2015.09.002 Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Computed tomography scan of the thorax: malignant pleural effusion, involvement of the pectoralis major muscle and sternocleidomastoid muscle, and a 1.8- × 1.4-cm subcutaneous nodule in the right subareolar region. JAAD Case Reports 2015 1, 378-380DOI: (10.1016/j.jdcr.2015.09.002) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Cutaneous findings. A, Erythematous, indurated, papillomatous plaques extending from right shoulder to right side of trunk and flank. B, Lesions on right flank. C, Biopsied area on right upper aspect of chest. JAAD Case Reports 2015 1, 378-380DOI: (10.1016/j.jdcr.2015.09.002) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Histopathologic findings from skin overlying right upper aspect of chest. Atypical epithelial cells in infiltrative tubular formations surrounded by fibromyxoid stroma. (A and B, Hematoxylin-eosin stain; original magnifications: A, ×2; and B, ×20.) JAAD Case Reports 2015 1, 378-380DOI: (10.1016/j.jdcr.2015.09.002) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions