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Thorax 2004;59:728 doi:10.1136/thx.2004.026815
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Rhomboideus major muscle metastasis as an initial clinical manifestation of pulmonary adenocarcinoma

  1. S Baser1,
  2. F E Fisekci1,
  3. F Bir2,
  4. N Karabulut3
  1. 1Chest Disease, Pamukkale University Medical Faculty, Kinikli Kampusu Denizli, Turkey
  2. 2Department of Pathology, Kinikli Kampusu Denizli, Turkey
  3. 3Radiology Department, Kinikli Kampusu Denizli, Turkey
  1. Correspondence to:
    Assistant Professor S Baser
    Chest Disease, Pamukkale University Medical Faculty, Kinikli Kampusu Denizli, Turkey 20100; sevinbhotmail.com

    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 1). The rest of the chest examination was normal.

    Figure 1

     Mass 10 × 10 × …

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