肺癌皮肤转移较少见,据报道其发生率约为2.8%~3.5%.皮肤转移后其他脏器转移接踵而来.预后不良,存活时间多不超过半年.作者临床遇到2例,均经病理学确诊,现报道如下:例1,男性,67岁.因咳嗽,左侧胸痛伴低热1个月,以左侧胸腔积液原因待查,于1992年3月30日入院.入院后查体除左肺叩浊,呼吸音减低外,无其他异常体征.胸片示左胸积液,CT示左肺癌伴左膈角,肝、脾及胸膜转移,纤支镜检查见左下支气管开口粘膜充血,浸润,狭窄,活检为鳞癌.胸水CEA为20.6ng/ml.入院曾在左胸膜腔抽胸水后局部注入顺铂40mg,共3次,胸水一度减少.住院50天于左 Lung cancer is less common in skin metastases, and its incidence is reported to be approximately 2.8% to 3.5%. The transfer of other organs after skin metastases follows. The prognosis is poor, and the survival time is no more than six months. The authors encountered two cases in the clinic. The pathological diagnosis is as follows: Case 1, male, 67 years old. Due to cough, left chest pain with low fever for 1 month, left pleural effusion for investigation, was admitted to hospital on March 30, 1992. In addition to left lung turbidity, reduced breath sounds, no other abnormal signs. Chest radiograph shows left pleural effusion, CT showed left lung cancer with left iliac angle, liver, spleen and pleural metastasis, fiber bronchoscopy see left lower bronchus opening mucosa Congestion, infiltration, stenosis, and biopsy for squamous cell carcinoma. CEA for pleural effusion was 20.6 ng/ml. The patient had been injected with cisplatin 40 mg in the left pleural cavity after pleural effusion for a total of 3 times. The pleural fluid was once reduced. The hospital stay was left for 50 days.