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Ann Thorac Surg 2003;78:709-711
© 2003 The Society of Thoracic Surgeons


Case report

Lung cancer and skeletal muscle metastases

Angelo Di Giorgio, MDa*, Paolo Sammartino, MDa, Carlo Luigi Cardini, MDa, Monir Al Mansour, MDa, Fabio Accarpio, MDa, Simone Sibio, MDa, Marisa Di Seri, MDb

a Dipartimento di Chirurgia "Pietro Valdoni", Università "La Sapienza" Rome, Italy
b Dipartimento di Medicina Sperimentale e Patologia, Università "La Sapienza," Rome, Italy

Accepted for publication June 30, 2003.

* Address reprint requests to Dr Di Giorgio, Università degli Studi di Roma "La Sapienza," Dipartimento di Chirurgia "Pietro Valdoni" Policlinico Umberto I, Via Lancisi 2-00161, Rome, Italy
e-mail: angelo.digiorgio{at}uniroma1.it

Skeletal muscle metastases from lung cancer are rare, and the optimal treatment strategy is unknown. Three cases of skeletal muscle metastases from lung cancer are described. In 2 patients surgical biopsy of muscle swelling disclosed the presence of the lung tumor; the first patient underwent lung resection to remove the primary lesion, the second was not operable because of the metastatic extension of the disease. In the third patient muscle metastasis was observed and excised after lung resection. Adenocarcinoma, squamous cell, and small cell carcinoma were the histologic types diagnosed. Various regimens of radiotherapy and chemotherapy were adopted. Survival times were 3, 6, and 30 months.







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