Akram Mohammad, Zaheer Samreen, Hussain Asif, Siddiqui Shahid A, Afrose Ruquiya, Khalid Saifullah
Department of Radiotherapy, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India.
Department of Pathology, UP Rural Institute of Medical Sciences (UPRIMS), Etawah, Uttar Pradesh, India.
J Cytol. 2017 Apr-Jun;34(2):113-115. doi: 10.4103/0970-9371.203577.
Solitary bone metastasis to fibula in patients of lung carcinoma is a rare entity, with only four cases reported in literature. We, hereby, present a case of a 50 year-old-male who was given three cycles of chemotherapy for lung carcinoma with no distant metastasis but presented 2 months later with a fusiform, painful swelling around the knee that was clinically suspected to be inflammatory in nature but proved to be fibular metastasis on cytology. There was no evidence of skeletal metastasis on initial bone scan. He was given palliative radiotherapy for this with symptomatic relief.
肺癌患者孤立性腓骨骨转移是一种罕见情况，文献中仅报道过4例。在此，我们报告一例50岁男性患者，其因肺癌接受了三个周期化疗，当时无远处转移，但2个月后出现膝关节周围梭形、疼痛性肿胀，临床怀疑为炎性病变，但细胞学检查证实为腓骨转移。初始骨扫描未发现骨骼转移证据。为此他接受了姑息性放疗，症状得到缓解。
