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Published in: Skeletal Radiology 8/2008

01-08-2008 | Case Report

Simultaneous thigh muscle metastasis from lung cancer and Escherichia coli gas producing myonecrosis

Authors: Gonzalo E. Martinez, Courtney A. Coursey, Leslie Dodd, Salutario Martinez

Published in: Skeletal Radiology | Issue 8/2008

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Abstract

We present the case of a 41-year-old man with known large cell lung cancer who had undergone left pneumonectomy 7 months prior and who presented with a large intramuscular mass involving the posterior left thigh and upper calf. This thigh mass was ultimately surgically explored, and specimens yielded both Escherichia coli organisms and cells reflecting a skeletal muscle metastasis from the patient’s known lung cancer. The patient was also found to have a rectal metastasis from his lung cancer. Intramuscular abscesses produced by gastrointestinal tract flora are a well-known presentation of colon cancer. To our knowledge, this is the first case report of the simultaneous occurrence of a skeletal muscle metastasis and an E. coli abscess in the same anatomic location. We believe the patient’s rectal metastasis may have been the intermediate step in this process.
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Metadata
Title
Simultaneous thigh muscle metastasis from lung cancer and Escherichia coli gas producing myonecrosis
Authors
Gonzalo E. Martinez
Courtney A. Coursey
Leslie Dodd
Salutario Martinez
Publication date
01-08-2008
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 8/2008
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-008-0489-5

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