Yuki Tsuyoshi, Sakamoto Toshihiko
Department of Thoracic Surgery, Japan Red Cross Kobe Hospital, Kobe, Japan.
Kyobu Geka. 2011 Aug;64(9):860-3.
A 64-year-old man visited our hospital, due to right shoulder pain and fever. Chest X-ray revealed a well-defined tumor in the upper field of the left lung, and the histological diagnosis was adenocarcinoma. Bone scintigraphy demonstrated abnormal accumulation localized in the right shoulder joints. Although bone metastasis was highly suspected, pulmonary resection was performed to remove infected pulmonary tumor. A week after pulmonary resection, his shoulder pain dramatically improved, and abnormal accumulation in bone scan decreased definitely 1 month later. In conclusions, this is an atypical case of hypertrophic osteoarthropathy accompanying lung cancer.
一名64岁男性因右肩疼痛和发热前来我院就诊。胸部X线检查显示左肺上叶有一个边界清晰的肿瘤，组织学诊断为腺癌。骨闪烁显像显示右肩关节处有异常聚集。尽管高度怀疑有骨转移，但仍进行了肺切除术以切除受感染的肺部肿瘤。肺切除术后一周，他的肩痛明显改善，1个月后骨扫描中的异常聚集明显减少。总之，这是一例伴有肺癌的肥大性骨关节病的非典型病例。
