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Updated: Jun 8, 2026
11:17
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Cancer lung: An unusual presentation
Shankar L Jakhar1, Rohitashwa Dana, D P Punia
1Department of Radiotherapy, Mathura Das Mathur Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India.
Summary
Phalanx bone metastasis, a rare initial sign of lung cancer, was diagnosed in a 70-year-old man presenting with finger pain. Further tests confirmed adenocarcinoma of the lung.
Area of Science:
- Oncology
- Radiology
- Pathology
Background:
- Lung cancer metastasis can present in unusual sites.
- Early detection of metastatic disease is crucial for patient outcomes.
Observation:
- A 70-year-old male presented with right ring finger swelling and pain.
- Radiography revealed an osteolytic lesion in the first phalanx of the right ring finger.
- Fine needle aspiration cytology suggested metastatic adenocarcinoma.
Findings:
- Skeletal survey and other tests were normal except for a right lung opacity.
- Bronchoscopic biopsy confirmed adenocarcinoma of the lung.
- This case highlights phalanx bone metastasis as an initial manifestation of lung cancer.
Implications:
- This presentation underscores the importance of considering metastatic disease in unexplained bone lesions.
- It emphasizes the need for thorough investigation, including imaging and biopsy, to identify the primary tumor.
- Such rare presentations can aid in understanding the diverse clinical manifestations of lung cancer.
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