A 48-Year-Old Male with Cutaneous Metastases of NUT Midline Carcinoma Misdiagnosed as Herpes Zoster

NUT (nuclear protein of the testis) midline carcinoma (NMC) is a rare, poorly differentiated neoplasm with dismal prognosis. Though NMC are often metastatic by the time of presentation, cutaneous metastases have not been well described in the literature. We report a case of NMC in a patient who pres...

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Main Authors: Lauren N. Ko, Qing Y.  Weng, Johanna S. Song, Mackenzie Asel, Scott R. Granter, Arash Mostaghimi
Format: Article
Language:English
Published: Karger Publishers 2017-11-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/481429
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author Lauren N. Ko
Qing Y.  Weng
Johanna S. Song
Mackenzie Asel
Scott R. Granter
Arash Mostaghimi
author_facet Lauren N. Ko
Qing Y.  Weng
Johanna S. Song
Mackenzie Asel
Scott R. Granter
Arash Mostaghimi
author_sort Lauren N. Ko
collection DOAJ
description NUT (nuclear protein of the testis) midline carcinoma (NMC) is a rare, poorly differentiated neoplasm with dismal prognosis. Though NMC are often metastatic by the time of presentation, cutaneous metastases have not been well described in the literature. We report a case of NMC in a patient who presented with grouped well-demarcated tender non-ulcerated erythematous nodules on the right mid-back. The lesions were initially diagnosed and treated as herpes zoster. Following failure to improve with antiviral therapy, imaging and skin biopsy revealed that the lesions were in fact cutaneous NUT carcinoma. Although NMC is an uncommon diagnosis, clinicians should be aware that affected patients can develop skin involvement to avoid unnecessary and harmful treatments.
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spelling doaj.art-ce5090ec8a98465585c971d1c12ccaf42022-12-21T22:46:52ZengKarger PublishersCase Reports in Oncology1662-65752017-11-0110398799110.1159/000481429481429A 48-Year-Old Male with Cutaneous Metastases of NUT Midline Carcinoma Misdiagnosed as Herpes ZosterLauren N. KoQing Y.  WengJohanna S. SongMackenzie AselScott R. GranterArash MostaghimiNUT (nuclear protein of the testis) midline carcinoma (NMC) is a rare, poorly differentiated neoplasm with dismal prognosis. Though NMC are often metastatic by the time of presentation, cutaneous metastases have not been well described in the literature. We report a case of NMC in a patient who presented with grouped well-demarcated tender non-ulcerated erythematous nodules on the right mid-back. The lesions were initially diagnosed and treated as herpes zoster. Following failure to improve with antiviral therapy, imaging and skin biopsy revealed that the lesions were in fact cutaneous NUT carcinoma. Although NMC is an uncommon diagnosis, clinicians should be aware that affected patients can develop skin involvement to avoid unnecessary and harmful treatments.https://www.karger.com/Article/FullText/481429NUT carcinomaSkinCutaneous metastases
spellingShingle Lauren N. Ko
Qing Y.  Weng
Johanna S. Song
Mackenzie Asel
Scott R. Granter
Arash Mostaghimi
A 48-Year-Old Male with Cutaneous Metastases of NUT Midline Carcinoma Misdiagnosed as Herpes Zoster
Case Reports in Oncology
NUT carcinoma
Skin
Cutaneous metastases
title A 48-Year-Old Male with Cutaneous Metastases of NUT Midline Carcinoma Misdiagnosed as Herpes Zoster
title_full A 48-Year-Old Male with Cutaneous Metastases of NUT Midline Carcinoma Misdiagnosed as Herpes Zoster
title_fullStr A 48-Year-Old Male with Cutaneous Metastases of NUT Midline Carcinoma Misdiagnosed as Herpes Zoster
title_full_unstemmed A 48-Year-Old Male with Cutaneous Metastases of NUT Midline Carcinoma Misdiagnosed as Herpes Zoster
title_short A 48-Year-Old Male with Cutaneous Metastases of NUT Midline Carcinoma Misdiagnosed as Herpes Zoster
title_sort 48 year old male with cutaneous metastases of nut midline carcinoma misdiagnosed as herpes zoster
topic NUT carcinoma
Skin
Cutaneous metastases
url https://www.karger.com/Article/FullText/481429
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