(At this follow up of visit, the patient reported very little Of the right hip were painful along with painful left hip its Limb was on external rotation with palpation and mobilization Physical examination was significant forĭiminished lung sounds over the right chest. Pulse rate 96 beats/min, respiratory rate 18 breaths/min, SaO 2ĩ0% on room air without signs of respiratory distress and was Temperature 37.7☌, his blood pressure was 107/68 mmHg, On arrival, the patient was in mild distress because of pain. Then the patient was transferred to the emergency Hip causing total functional impotence of the right lower limb. Very intense contemporary to an audible crunch in the right Three months later, the pain increased steadily becoming A paracetamol with salbutamol associated to antibiotic Pulmonary disease with no visible fracture on x ray-s ( Figureġ). The physician hasĬoncluded to simple exacerbation of chronic obstructive Spontaneously pain of both hips for 1 month without history Smoker (60 packs a year) with chronic obstructive pulmonaryĭisease consulted a family physician for dyspnea, cough and a In late March 2018, A 62-years old elderly male patient, Squamous carcinoma in lung which illustrate the gravity ifįamily physician missed the diagnosis. To the best of our knowledge, the case we present here isĪmong the rare case of unusual presentation of adeno Pathological fracture as the initial presentation of primaryĪdeno squamous carcinoma is very rare and only few cases Which accounts for 0.4% to 4% of all lung carcinomas. Squamous carcinoma is a rare subtype of lung carcinoma, Often the earliest sites of bone metastases, whereas the skull,įemur, humerus, and scapula are involved later. When surgical resection is no longer possible because of localĪdvancement or distant metastasis. Lung cancer is a severe disease often diagnosed a late stage But, at 3 weeks from surgery, patient presented an acute decompensation of his chronic obstructive bronchopneumopathy causing his death.Īdenosquamous Proximal femur Introduction Based on clinical features, chest x-ray finding, CT scan, histopathological finding and immune-histochemical analysis, a diagnosis of metastatic adenocarcinoma of femur, primary from the lung was made and was transferred to the oncology service for inpatient palliative radiation and chemotherapy. He benefited from bilateral long Gamma intramedullary nail along with biopsy and cementation on the right proximal femur. Three months later, patient presented a bilateral pathological fracture of proximal femur prompting the patient to undergo surgery. We present here the case of a 62-years-old elderly male patient, smoker with chronic obstructive pulmonary disease, consulted initially a family physician for dyspnea, cough and a spontaneous pain of both hips then he was diagnosed as simple exacerbation of his pulmonary disease. It behaves more aggressively than other histologic subtypes of lung cancer with a poor long-term prognosis. Adenosquamous carcinoma is a rare subtype of lung carcinoma. Lung cancer is a severe disease often diagnosed a late stage when surgical resection is no longer possible.
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