《A complicated case of lung cancer and pulmonary tuberculosis initially presented with painful scapular metastasis in other side》.pdfVIP

Chinese-German Journal of Clinical Oncology May 2012, Vol. 11, No. 5, P294–P296 DOI 10.1007/s10330-011-0952-y A complicated case of lung cancer and pulmonary tuberculosis initially presented with painful scapular metastasis in other side 1, 2 3 1 4 Hassan-Ali Mohebbi , Amin Saburi , Mohammad-Hasan Bagheri , Ehsan Saburi 1 Surgury Department, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, IR. Iran 2 Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR. Iran 3 Chemical Injuries Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR. Iran 4 Laboratory Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, IR. Iran Received: 20 December 2011 / Revised: 28 January 2012 / Accepted: 5 March 2012 © Huazhong University of Science and Technology and Springer-Verlag Berlin Heidelberg 2012 Abstract We report a 43-year-old man who presented with a right painful shoulder mass and bilateral lung masses in com- puted 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 adenocar- cinoma 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. Key words lung cancer (LC); scapula; tuberculo