A 14-year-old girl with no history of pulmonary tuberculosis presented with a painless ulcer in the intermammary region. The lesion had lasted for three months. Histopathological examination confirmed a diagnosis of scrofuloderma. The patient was treated with anti-tuberculosis therapy and local wound care, leading to the resolution of the lesion. This case highlights the importance of considering scrofuloderma in the differential diagnosis of chronic ulcerative skin lesions, particularly in endemic regions.
FDG-PET/CT demonstrated FDG uptake in the lung tumor, bilateral bronchovascular bundles, thickened esophageal wall, and so on, suggesting diffusely spreading lymphangitic carcinomatosis.
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