Abstract
We report a 43-year-old man who presented with a right painful shoulder mass and bilateral lung masses in computed tomography (CT). Scapular mass was excised and pathology report demonstrated high-grade metastatic tumor. Same side lung biopsy and histopathological study characterized tuberculosis but biopsy of the left lung lesion identified adenocarcinoma of the lung. The final diagnosis was right scapular metastatic lesion from left lung adenocarcinoma. Musculoskeletal symptoms are commonly encountered in lung malignancies due to paraneoplastic syndrome or hematogenous metastasis but scapular metastasis on the other side as the presentation of lung cancer is extremely rare.
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Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics, 2002. CA Cancer J Clin, 2005, 55: 74–108.
Rocha MP, Fraire AE, Guntupalli KK, et al. Lung cancer in the young. Cancer Detect Prev, 1994, 18: 349–355.
Chute CG, Greenberg ER, Baron J, et al. Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont. Cancer, 1985, 56: 2107–2111.
Tsuya A, Kurata T, Tamura K, et al. Skeletal metastases in non-small cell lung cancer: a retrospective study. Lung Cancer, 2007, 57: 229–232.
Nielsen OS, Munro AJ, Tannock IF. Bone metastases: pathophysiology and management policy. J Clin Oncol, 1991, 9: 509–524.
Gralow JR, Biermann JS, Farooki A, et al. NCCN task force report: bone health in cancer care. J Natl Compr Canc Netw, 2009, 7Suppl 3: S1–S32.
Lote K, Walløe A, Bjersand A. Bone metastasis. Prognosis, diagnosis and treatment. Acta Radiol Oncol, 1986, 25: 227–232.
Hanagiri T, Kodate M, Nagashima A, et al. Bone metastasis after a resection of stage I and II primary lung cancer. Lung Cancer, 2000, 27: 199–204.
Demetrious J, Demetrious GJ. Lung cancer metastasis to the scapula and spine: a case report. Chiropr Osteopat, 2008, 16: 8.
Choi HR, Lee PB, Kim KH. Scapuloplasty alleviates scapular pain resulting from lung cancer metastasis. Pain Physician, 2010, 13: 485–491.
Toloza EM, Harpole L, McCrory DC. Noninvasive staging of non-small cell lung cancer: a review of the current evidence. Chest, 2003, 123(1 Suppl): 137S–146S.
Schumacher T, Brink I, Mix M, et al. FDG-PET imaging for the staging and follow-up of small cell lung cancer. Eur J Nucl Med, 2001, 28: 483–488.
Coleman RE. Metastatic bone disease: clinical features, pathophysiology and treatment strategies. Cancer Treat Rev, 2001, 27: 165–176.
Langer C, Hirsh V. Skeletal morbidity in lung cancer patients with bone metastases: demonstrating the need for early diagnosis and treatment with bisphosphonates. Lung Cancer, 2010, 67: 4–11.
Brambilla E, Travis WD, Colby TV, et al. The new World Health Organization classification of lung tumours. Eur Respir J, 2001, 18: 1059–1068
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Mohebbi, HA., Saburi, A., Bagheri, MH. et al. A complicated case of lung cancer and pulmonary tuberculosis initially presented with painful scapular metastasis in other side. Chin. -Ger. J. Clin. Oncol. 11, 294–296 (2012). https://doi.org/10.1007/s10330-011-0952-y
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DOI: https://doi.org/10.1007/s10330-011-0952-y