中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (8): 604-605.doi: 10.12144/zgmfskin202508604

• 病例报告 • 上一篇    下一篇

误诊为带状疱疹的皮肤转移癌一例

徐歌1,2*,吴卫志1,2*,陈声利1,2,杨青1,2   

  1. 1山东第一医科大学附属皮肤病医院，山东济南，250022； 2山东省皮肤病性病防治研究所，山东济南，250022 *共同第一作者
  • 出版日期:2025-08-15 发布日期:2025-08-01

Cutaneous metastases of carcimoma misdiagnosed as herpes zoster: a case report

XU Ge1,2*, WU Weizhi1,2*, CHEN Shengli1,2, YANG Qing1,2   

  1. 1 Dermatology Hospital of Shandong First Medical University, Jinan 250022, China; 2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China *Co-first author
  • Online:2025-08-15 Published:2025-08-01

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摘要： 患者，女，63岁，右侧颈部、胸背部疼痛1周，右侧颈部散在红色斑块伴乳房肿胀3天，初诊为带状疱疹，给予抗病毒治疗，但症状无好转，且乳房肿胀加重。癌胚抗原CEA 207 ng/mL；CA724 8.87 U/mL；组织病理示符合转移癌。患者隐匿性乳腺癌病史3年。根据患者病史、临床表现及辅助检查，诊断为皮肤转移癌，乳腺来源。患者未继续治疗，4个月后死亡。

关键词: 皮肤转移癌, 带状疱疹

Abstract: A 63-year-old female patient presented with pain in the right neck, chest, and back for 1 week, along with scattered red plaques on the right neck and breast swelling for 3 days. She was initially diagnosed with herpes zoster and given antiviral treatment, but her symptoms did not improve and the breast swelling worsened. The carcinoembryonic antigen (CEA) was 207 ng/mL and CA724 was 8.87 U/mL; the pathology was consistent with metastatic carcinoma. The patient had a 3-year history of occult breast cancer. Based on the patient's medical history, clinical manifestations, and auxiliary examinations, the diagnosis was cutaneous metastatic carcinoma of breast origin. The patient did not receive further treatment and died 4 months later.

Key words: cutaneous metastases of carcimoma, herpes zoster