Abstract

We report a 43-year-old man who presented with a right painful shoulder mass and bilateral lung masses in computed tomography (CT). Scapular mass was excised and pathology report demonstrated high-grade metastatic tumor. Same side lung biopsy and histopathological study characterized tuberculosis but biopsy of the left lung lesion identified adenocarcinoma of the lung. The final diagnosis was right scapular metastatic lesion from left lung adenocarcinoma. Musculoskeletal symptoms are commonly encountered in lung malignancies due to paraneoplastic syndrome or hematogenous metastasis but scapular metastasis on the other side as the presentation of lung cancer is extremely rare. © 2012 Huazhong University of Science and Technology and Springer-Verlag Berlin Heidelberg.