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Updated: Jul 10, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
[Atypical presentation of lung cancer]
Ana Sofia Preto1, Rui Teixeira, Rosa Cruz
1Serviço de Radiologia, Hospital Santo Espirito de Angra no Heroísmo, Ponta Delgada. sofiapreto@hotmail.com
Abstract:
The authors present the clinical case of a 61-year-old male admitted to the emergency department, with arthritis of his right wrist and left knee as well as left leg cellulitis, digital clubbing and 'hourglass' nails. Subsequent clinical work-up led to the final diagnosis of stage IV adenocarcinoma of the lung, with bone metastasis. The authors discuss the association between this type of lung neoplasm and osteoarticular manifestations as well as its first presentation as bone metastasis.
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