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Spontaneous Subgaleal Abscess Associated with Lung Adenocarcinoma: First Description of This Unusual Association

Giuseppe Emmanuele Umana1, Gianluca Scalia2, Saverio Fagone1

  • 1Department of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital, Catania, Italy.

World Neurosurgery
|August 11, 2019
PubMed
Abstract

Insights

This case report details a rare de novo subgaleal abscess in a patient without head trauma, linked to lung adenocarcinoma. Early global assessment is crucial for diagnosing associated conditions.

Area of Science:

  • Neurology
  • Oncology
  • Infectious Diseases

Background:

  • Subgaleal abscesses are rare, often linked to risk factors and predisposing conditions.
  • These lesions can be misleading and are associated with high morbidity.
  • This is the first reported case of a de novo subgaleal abscess without prior head trauma, associated with lung adenocarcinoma.

Observation:

  • A 59-year-old man presented with fever and a palpable subcutaneous right parietal mass.
  • Needle aspiration of the subgaleal lesion yielded negative results for microbiological, histological, and cytological examination.
  • Chest imaging revealed two lesions in the left lung.

Findings:

  • Surgical debridement of the parietal bone lesion was performed.
  • The lesion was suspected to be an abscessualized skull metastasis from primary lung adenocarcinoma.

Implications:

  • A global patient assessment is recommended for subgaleal abscesses without a history of traumatic head injury.
  • Prompt diagnosis and treatment of associated findings are essential for patient outcomes.
Keywords:
De novoGalea aponeuroticaLung adenocarcinomaOsteomyelitisSpontaneousSubgaleal abscess

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