Lung cancer with bone metastases

Case contributed by Dr Bahman Rasuli

Presentation

Known case of lung carcinoma with weight loss and hemoptysis., now presented with left shoulder pain.

Patient Data

Age: 70 years
Gender: Male

Large heterogeneously enhancing mass in the left lower lobe adjacent to the pleura, obliterating the LLL bronchus mediobasal and posterobasal subsegments, marked narrowing the LLL superior and laterobasal subsegmental branches, without transgressing the limits of the fissure

Irregular thickening of interstitial septae of LLL around the mass

Large soft tissue destructive mass infiltrated the scapula and humerus head and proximal diaphysis

Multiple large lymphadenopathies with maximum SAD up to 18 mm at left axillary space

Hypodence subcutaneous nodule along with dorsal spine in the midline position

The visible portion of the abdominal organs is unremarkable.

Photo

Histopathology of the left humerus soft tissue mass lesion revealed metastatic pulmonary adenocarcinoma.

Case Discussion

Known case of left lung lower lobe adenocarcinoma with left shoulder metastasis.

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