Clinical findings in lung-digit syndrome in five cats-Hiroki Sugiyama et al. Introduction Lung tumors in cats are reported to be rare[2]. Indeed, during the period from April 1985 through March 2008 at Oncology Department, Azabu University Veterinary Teaching Hospital(AUVTH) , we diagnosed a total of 1,070 cases of tumors in cats, which included 59 cases of respiratory system tumors, but only 10 of these were pulmonary tumors. Histopathologically, adenocarcinomas are reported to be the most common type of pulmonary tumor in cats[10] , followed by squamous cell carcinomas and carcinosarcomas[7]. The etiological factors involved in pulmonary tumors in cats remain unclear, but a case of apparent bacterial involvement has been reported[6]. Metastasis to the bronchial lymph nodes and to other lobes of the lung is common[1] , and the prognosis of undifferentiated carcinomas is considered to be worse than that of highly differentiated lesions[9]. In humans and dogs, the cause of death in cases with pulmonary tumors is often respiratory failure brought on by pneumonia or retention of pleural effusion due to pleural infiltration. In pulmonary tumors in cats, a condition known as lung-digit syndrome has been described, and is characterized by disseminated metastasis of the primary pulmonary tumor to the digits[8]. Only a few reports have been published on the lung-digit syndrome in cats, but it has been reported that the prognosis is very poor, with a median survival of 34 to 104 days [8,15,16]. It is possible reportedly that this syndrome could be associated with various tumors, including adenocarcinomas and squamous cell carcinomas[4,12,14] , and that the sites of metastasis include not only the digits but also the skin, kidneys and muscles[4,5,12]. In humans, a possible same pathophysiology is also known in which primary pulmonary tumors show disseminated metastasis to the digits, but much remains unclear regarding this disease condition, and there