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This 51-year-old smoker presented with a three-month history of nonproductive cough and bumps on his skin. The bumps werenontender, firm, and freely movable. Chest radiograph showed a left hilar mass.

24. cutaneous metastases from undifferentiated bronchogenic carcinoma

Cutaneous metastases can arise from almost any organ. They usually are papulonodular, painless, discrete, and freelymovable. Biopsy is necessary for exact diagnosis.

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Source:  OpenStax, Images of memorable cases: 50 years at the bedside. OpenStax CNX. Dec 08, 2008 Download for free at http://cnx.org/content/col10449/1.7
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