2001 Volume 15 Issue 7 Pages 791-795
The case of a 61-year-old male who was diagnosed with left lung cancer with scapula metastasis is reported. His chest X-ray and CT scan showed a well-defined shadow with pleural indentation in the left lung S4. Laboratory data on admission showed high level of CEA (96.8 ng/ml), and bone scintillation scan showed a single area of increased accumulation in the left shoulder joint. Left upper wedge lobectomy and left scapulectomy were performed. Postoperative adjuvant chemotherapy and irradiation to the mediastinum were done. Follow -up chest CT scan detected a small nodule in the left S6, which gradually increased in size. So partial resection of the left S6 was performed and it was proved to be pulmonary metastasis. It is considered that the prognosis of non small cell lung cancer (NSCLC) with bone metastasis is very poor, but there is a report of a long-term survival case after surgery for NSCLC with single bone metastasis. The cases of NSCLC with single bone metastasis like this case have the possibility to be cured by local treatment including surgical therapy.
