PDF(Pubmed)
Abstract：
Lung adenocarcinoma, the predominant subtype of non-small cell lung cancer, typically metastasizes to common sites such as the liver and adrenal glands. However, rare instances involve skeletal muscle metastasis. We present a case of a 45-year-old female with a medical history of hypertension, epilepsy, and fibromyalgia, who presented to the emergency department with hemoptysis and multifocal pain. Chest imaging revealed a cavitary lesion which appeared to be necrotizing pneumonia. Further investigations uncovered a fluid collection in the left thigh, which would be identified as poorly differentiated carcinoma. Subsequent testing identified the lung as the primary source of metastasis. Despite radiation treatment, the patient\'s condition deteriorated over the next 50 days, highlighting the aggressive nature of the disease.
摘要：
肺腺癌，非小细胞肺癌的主要亚型，通常转移到肝脏和肾上腺等常见部位。然而,罕见病例涉及骨骼肌转移。我们介绍了一个45岁的女性，有高血压病史，癫痫,和纤维肌痛，他因咯血和多灶性疼痛到急诊科就诊。胸部成像显示空洞性病变，似乎是坏死性肺炎。进一步的调查发现左大腿有液体聚集，这将被确定为低分化癌。随后的测试将肺确定为转移的主要来源。尽管进行了放射治疗,病人的病情在接下来的50天内恶化，突出了疾病的侵袭性。
