With increasing in number of lung cancer, the symptoms are becomming more variable. Clubbed fingers are sometimes the first symptoms.
A 69 year old male teacher with main complaint of remarkable clubbed fingers was refferred to our Clinic.
His chest X-ray showed a coin lesion in the right upper lung field and his fingers and toes revealed prominent clubbing in all terminal phalanges. Finally, a lobectomy of the right upper lobe was performed and primary pulmonary carcinoma was confirmed. It was histologically adenocarcinoma.
After the operation the clubbed fingers and toes were improved.
Concerning the etiology of clubbed fingers seen in pulmonary carcinoma patient, we consider that neural reflex theory is the most leading one.
