Thoracic Research and Practice
Case report

Forearm Metastases as Unsuspected First Manifestations of Lung Adenocarcinoma


Department of Respiratory Medicine, Hospital Clinico Universitario de Valladolid, Valladolid, Spain


Department of Oncology, Hospital Clinico Universitario de Valladolid, Valladolid, Spain

Thorac Res Pract 2019; 20: 66-68
DOI: 10.5152/TurkThoracJ.2017.17047
Read: 1850 Downloads: 402 Published: 18 July 2019



An 83-year-old male who was a former smoker had pain on the left forearm accompanied with progressive swallowing in the last four to five months. Imaging studies revealed a cystic necrotic mass on the flexor digitorum superficialis muscle (biopsy: striated muscle tissue infiltrated by an adenocarcinoma). A whole-body computerized tomography (CT) scan demonstrates the presence of two lung masses that were suspicious of malignancy. Diagnosed as having stage IV lung adenocarcinoma (cT4NxM1b, IASLC TNM 8th), he received chemotherapy with a carboplatin/pemetrexed-based regimen and local palliative radiation for the control of arm pain.


Cite this article as: Sanches BV, Castro RL. Forearm metastases as unsuspected first manifestations of lung adenocarcinomas. Turk Thorac J 2019; 20(1): 66-8.

ISSN 2979-9139