肺转移性腺癌，酷似原发性肩胛骨肿瘤：一例报告并文献复习
Metastatic Adenocarcinoma of Lungs, Mimicking Primary Scapular Tumor: A Case Report and Review of Literature.
作者信息
Macwan Anson Albert, Nanda Saurav Narayan, Mishra Debasish, Purohit Ashish, Patel Eshwar, Gachhayat Ashok
机构信息
Department of Orthopaedics, Kalinga Institute of Medical Science, Kalinga Institute of Industrial Technology, KIIT Road, Patia, Bhubaneswar, Odisha, India.
出版信息
J Orthop Case Rep. 2021 Jun;11(6):40-43. doi: 10.13107/jocr.2021.v11.i06.2250.
INTRODUCTION
Cancer metastasis to the scapula and tibia is an infrequent clinical presentation. Lung cancer is one of the leading causes of death in the world. Around 80-85% of lung cancer are non-small cell lung cancer and around 30-35% of them are adenocarcinoma which metastasize to bone. Scapular metastasis is a rare event and presents with bone pain.
CASE REPORT
In this case report of 56-year-old male, presented with swelling to the scapula as a first symptom followed by swelling in the tibia. On further investigation, it was found to be multiple metastasis primaries as an adenocarcinoma of the lung. He was managed with palliative chemotherapy, which enhanced the patient's quality of life, slowing down the disease process and clinical improvement.
CONCLUSION
Lung cancer is the most common cancer which is progressing rapidly and spreading commonly to bones. When patients present with a mass or any suspicion of tumor, careful clinical examination and diagnostic tools often catch malignancy.
引言
癌症转移至肩胛骨和胫骨是一种不常见的临床表现。肺癌是全球主要死因之一。约80 - 85%的肺癌为非小细胞肺癌，其中约30 - 35%为腺癌，可转移至骨骼。肩胛骨转移是罕见情况，表现为骨痛。
病例报告
本病例报告为一名56岁男性，首发症状为肩胛骨肿胀，随后胫骨也出现肿胀。进一步检查发现为多发性转移瘤，原发灶为肺腺癌。对其进行了姑息化疗，提高了患者生活质量，减缓了疾病进程并实现了临床改善。
结论
肺癌是最常见的癌症，进展迅速且常转移至骨骼。当患者出现肿块或任何肿瘤疑似情况时，仔细的临床检查和诊断工具常能发现恶性肿瘤。
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