Case Report

Forearm Muscle Metastasis as an Initial Clinical Manifestation of Lung Cancer

Authors: Kyoichi Kaira MD, PhD, Tamotsu Ishizuka MD, PhD, Noriko Yanagitani MD, PhD, Noriaki Sunaga MD, PhD, Takafumi Tsuchiya MD, PhD, Takeshi Hisada MD, PhD, Masatomo Mori MD, PhD

Abstract

Abstract:Skeletal muscle metastasis from lung cancer is rare, and the optimal treatment strategy is unknown. A 37-year-old man presented with painful swelling in the left forearm. A biopsy of the swollen muscle disclosed the presence of pulmonary adenocarcinoma. The patient was treated with systemic chemotherapy and radiotherapy; radiographic examination revealed a marked reduction of the tumor in the primary site and muscle metastasis. Skeletal muscle metastasis as a mode of presentation of primary lung cancer is an unusual phenomenon.

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References

References1. Ramanathan T. Bronchial carcinoma metastases presenting as gluteal abscess. Br J Dis Chest 1973;67:167–168.RamanathanTBronchial carcinoma metastases presenting as gluteal abscess.Br J Dis Chest197367167-1682. Di Giorgio A, Sammartino P, Cardini CL, et al. Lung cancer and skeletal muscle metastases. Ann Thorac Surg 2004;78:709–711.Di GiorgioA]]SammartinoP]]CardiniCL&etal;Lung cancer and skeletal muscle metastases.Ann Thorac Surg200478709-7113. Acinas Garcia O, Fernandez FA, Satué EG, et al. Metastasis of malignant neoplasms to skeletal muscle. Rev Esp Oncol 1984;31:57–67.Acinas GarciaO]]FernandezFA]]SatuéEG&etal;Metastasis of malignant neoplasms to skeletal muscle.Rev Esp Oncol19843157-674. Sudo A, Ogihara Y, Shiokawa Y, et al. Intramuscular metastasis of carcinoma. Clin Orthop Relat Res 1993;296:213–217.SudoA]]OgiharaY]]ShiokawaY&etal;Intramuscular metastasis of carcinoma.Clin Orthop Relat Res1993296213-2175. Tuoheti Y, Okada K, Osanai T, et al. Skeletal muscle metastases of carcinoma: a clinicopathological study of 12 cases. Jpn J Clin Oncol 2004;34:210–214.TuohetiY]]OkadaK]]OsanaiT&etal;Skeletal muscle metastases of carcinoma: a clinicopathological study of 12 cases.Jpn J Clin Oncol200434210-2146. Damron TA, Heiner J. Distant soft tissue metastases: a series of 30 new patients and 91 cases from the literature. Ann Surg Oncol 2000;7:526–534.DamronTA]]HeinerJDistant soft tissue metastases: a series of 30 new patients and 91 cases from the literature.Ann Surg Oncol20007526-5347. Belhabib D, Maalej S, Fenniche S, et al. Muscle metastasis of a primary bronchial carcinoma. Tunis Med 2001;79:557–560.BelhabibD]]MaalejS]]FennicheS&etal;Muscle metastasis of a primary bronchial carcinoma.Tunis Med200179557-5608. Tsunezuka Y, Saito H, Masuda S. A case of adenosquamous cell carcinoma of the lung which was founded by metastasis to the skeletal muscle. Jpn J Lung Cancer 1994;34:411–416.TsunezukaY]]SaitoH]]MasudaSA case of adenosquamous cell carcinoma of the lung which was founded by metastasis to the skeletal muscle.Jpn J Lung Cancer199434411-416