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I n t e r n a t i o n a l C o n f e r e n c e o n
Physicians, Surgeons and
Case Reports
November 19-20 , 2018
Par i s , France
Medical Case Reports
ISSN: 2471-8041
PSCR 2018
Introduction:
Lung carcinoma, the most common malignancy worldwide,
presents as a metastatic disease in majority of the cases. The most frequent
sites of distant metastases are liver, adrenal glands, bones, and brain. Skeletal
muscle metastasis is an unusual presentation of lung adenocarcinoma.
Case report:
A 53 year old male patient, labourer by occupation,
beedi
smoker
since 25 years, admitted to tertiary care hospital with pain and swelling over
left arm, cough and expectoration since 2 months, accompanied with weight
loss of three kilograms. There was no evidence of chest pain or hemoptysis. On
examination, there was hard swelling over extensor compartment of left upper
limb with mild tenderness, no loss of sensation and mild restriction of range
of movements on flexion at elbow. Respiratory and other system examination
was within normal results. CT chest pain defined multilobulated lesion in
right perihilar location in right middle lobe. USG study of left arm showed an
irregular heterogenous soft tissue lesion noted within the triceps muscle with
few areas of intra-lesional necrosis, MRI of left arm showed lobulated lesion in
posteromedial aspect of mid and distal arm, involving triceps muscle, medial
aspect of brachialis, encasing brachial artery, veins and median nerve. PET CT
showed enhancing nodular soft tissue lesion noted in middle lobe of right lung,
2.9x2.4 cm. Biopsy revealed metastatic adenocarcinoma. For further studies
immunophenotyping was done which showed negative for EGFR and ALK.
Patient was treated with palliative RT, Pem-Carbo f/b pemtrexed maintenance
and recently 3# of Gemcitabine. The patient died of metastasis to brain within
eight weeks of diagnosis.
Conclusion:
Lung carcinoma with skeletal muscle metastasis should be
considered as a potential differential diagnosis in patients presenting with
intramuscular mass.
Biography
Sharan Badiger has completed his MD in Internal Medicine, in
1994 and MBBS, in 1989 from Gulbarga University, Gulbarga,
Karnataka, India. He is presently working as Professor of
Medicine, Sri B M Patil Medical College, Vijayapur, Karnataka,
India. His main research interests are in Internal Medicine,
Echocardiography and Imaging in Medicine. He has 60
publications in international/national reputed journals and
proceedings of the conferences. He is a Life Member of
Association of Physicians of India since 1996, Research
Society for the Study of Diabetes in India since 2005, Indian
Society of Cardiology since 2006, Indian Society of Electro-
cardiology since 2010, Indian Academy of Geriatrics since 2010,
International Association of Computer Science and Information
Technology Singapore since 2010. He is an international
Associate Member of American College of Cardiology since
2014. He is serving as Editor-in-Chief, Editorial Board Member,
Peer Reviewer and Advisory Board Member of various national,
international journals and conferences of rupute.
sharanrb@rediffmail.comSkeletal muscle metastasis: an unusual manifestation of
adenocarcinoma of lung
Sharan Badiger and Siddarth kumar Chawath
Sri B M Patil Medical College, India
Sharan Badiger et al., Med Case Rep. 2018, Volume:4
DOI: 10.21767/2471-8041-C2-006