{
  "abstract": "A male in his late fifties, a chronic smoker, presented to his primary care physician with multiple painless subcutaneous swellings over the torso, which were misdiagnosed as a cutaneous infection for more than a month. Later, he developed haemoptysis for which he presented to our tertiary care subspecialty unit. Further evaluation with imaging revealed a left lung mass with adrenal and gastric lesions, raising suspicion of a lung malignancy with metastasis. A biopsy from a chest wall swelling confirmed primary lung small cell carcinoma with positive synaptophysin expression. Despite timely whole-brain radiotherapy and chemotherapy, his condition deteriorated rapidly, and he succumbed within weeks. This case highlights the rare presentation of small-cell lung carcinoma with cutaneous metastases, which is associated with poor prognosis.",
  "authors": [
    {
      "affiliations": [
        "Pulmonary Medicine, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India"
      ],
      "name": "Anjana Anilkumar"
    },
    {
      "affiliations": [
        "Pulmonary Medicine, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India"
      ],
      "name": "Ritwick Singla"
    },
    {
      "affiliations": [
        "Pulmonary Medicine, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India"
      ],
      "name": "Lokesh Kumar Saini"
    },
    {
      "affiliations": [
        "Pathology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India"
      ],
      "name": "Ravi Hari Phulware"
    },
    {
      "affiliations": [
        "Pathology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India"
      ],
      "name": "Gayathri Saravanan"
    }
  ],
  "title": "Atypical skin involvement as a harbinger of small-cell lung cancer",
  "uid": "440de49c-4cd4-55b3-988f-92fba5ce176b"
}