Small cell lung cancer (oat.cell carcinoma) comes up usually with respiratory symptoms and/or radiological findings. Clinical case: This clinical case corresponds to a patient with a metastatic skull mass and medullary compression syndrome as a debut of an oat cell lung cancer. Conclusions: A very marked suspicion is necessary for the clinical early diagnosis of small cell lung cancer with limited disease. Nevertheless, cases as the one reported here manifest its aggressiveness, with a high rate of dissemination at diagnosis and a high morbimortality.
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