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Thorax 2004;59:728; doi:10.1136/thx.2004.026815
Copyright © 2004 BMJ Publishing Group Ltd & British Thoracic Society.
Thorax 2004;59:728
© 2004 BMJ Publishing Group Ltd & British Thoracic Society

Images in Thorax

Rhomboideus major muscle metastasis as an initial clinical manifestation of pulmonary adenocarcinoma

S Baser1, F E Fisekci1, F Bir2, N Karabulut3

1 Chest Disease, Pamukkale University Medical Faculty, Kinikli Kampusu Denizli, Turkey
2 Department of Pathology, Kinikli Kampusu Denizli, Turkey
3 Radiology Department, Kinikli Kampusu Denizli, Turkey

Correspondence to:
Correspondence to:
Assistant Professor S Baser
Chest Disease, Pamukkale University Medical Faculty, Kinikli Kampusu Denizli, Turkey 20100; sevinb@hotmail.com

The first 150 words of the full text of this article appear below.

A 54 year old man was referred by his primary care physician for further evaluation of a 4 month history of progressive swelling over his right scapular region. He had complained of a mildly productive cough for 2 months and a weight loss of 4 kg during the past month. He was a smoker of 35 pack years. Physical examination revealed a painful mass fixed on the right scapular region (fig 1Go). The rest of the chest examination was normal.


 


Learning points

  • Haematogenous dissemination of metastatic carcinoma from lung cancer to skeletal musculature is extremely rare, but with the increasing incidence of lung cancer worldwide, physicians will probably encounter rarer patterns of metastases.
  • This should be kept in mind in a smoker who complains of pain or weakness in an extremity, and appropriate clinical and imaging . . . [Full text of this article]



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