Kaohsiung Journal of Medical Sciences
Volume 22, Issue 7 , Pages 352-356, July 2006

A Rare Case of Combined Small-Cell Lung Cancer with Unusual Soft Tissue Metastasis

  • Yi-Ting Tseng

      Affiliations

    • Dental Department, Fooyin University Hospital, Kaohsiung, Taiwan
  • ,
  • Chee-Yin Chai

      Affiliations

    • Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

Division of Hematology-Oncology, Department of Internal Medicinel, Kaohsiung Medical University, Kaohsiung, Taiwan

Received 21 March 2005; accepted 6 January 2006.

Combined small-cell lung carcinoma (SCLC) is a rare tumor. We report a case of combined SCLC of the lung, including adenocarcinoma and spindle-shaped cell tumor, with an unusual initial presentation. The patient suffered from a right shoulder mass, subsequently undergoing biopsy. A lung nodule was noted later after complete examination. The diagnosis turned out to be combined cell carcinoma with three different components (small-cell carcinoma, adenocarcinoma, and spindle-shaped cell tumor) after examination upon total removal of the lung nodule by lobectomy. In addition to the rarity of the three components in such a tumor, soft tissue metastasis also made it an unusual case.

Key Words:  combined small-cell lung carcinoma , lung cancer , soft tissue metastasis , spindle-shaped cell tumor

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PII: S1607-551X(09)70322-5

doi:10.1016/S1607-551X(09)70322-5

Kaohsiung Journal of Medical Sciences
Volume 22, Issue 7 , Pages 352-356, July 2006