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Skin Metastases: Revealing a Lung Adenocarcinoma

Leila Nebchi1*, Naamani Chaher2

Muscle metastases from bronchopulmonary cancer are rare; their revealing character is an exceptional fact. We report the observation of a muscular metastasis of the right arm, revealing a totally asymptomatic bronchial adenocarcinoma. The reason for our patient’s consultation was a painful mass in the right arm. Imaging concluded that there was heterogeneous muscle collection without any erosion of the cortical bone of the humerus. The histological study of the tumor, after surgical excision, concluded in a metastasis of an adenocarcinoma, whose immune histochemical profile oriented towards a broncho-pulmonary or digestive origin. The chest X-ray was normal. Apart from the surgical excision of the muscle metastasis, the treatment included local consolidation radiotherapy associated with palliative chemotherapy. The evolution was marked by the absence of local recurrence, with nevertheless a dissemination of the lung cancer after 7 months of evolution patient deceased. Skeletal muscle metastases from lung cancer are rare and have a poor prognosis.