Aim: To Study the clinical, radiological & histological profile of lung cancer. Meterial & Methods: 94 patients who presented with cough, haemoptysis, chest pain, breathelessness, and having radiological features consistant with bronchogenic carcinoma subjected to sputum cytology, bronchoscopy, CT thorax & FNAB depending on need. Results : Highest incidence of lung malignancy was found in age group of 51-70 years (35.10%). Male : female ratio was 3:1. 54 (57.44%) were smokers & 40 (42.55%) were non-smokers. Cough (88.33%), breathelesness (85%) and chest pain (48.33%) were the commonest presentation. Sputum cytology was positive in 8.33%. Endobronchial mass found in 40 (48.19%), vocal cord palsy in13 (15.66%), trachial external compression in 8 (9.6%), widened carina in 19 (22.8%), bronchial external compression in 14 (16.66%). BAL cytology was positive in 58.49% (31/53), brushing was positive in 60% (15/25). Commenest presentation was lung mass (61.66%) on CXR and peripherial tumour 54 (57.45%) on CT. Adenocarcinoma was the commenst small cell carcinoma (48.33%), 50 (53.19 %) patients presented stage IV disease. Conclusion: Associated risk factors, symptoms, and investigations like CT guided FNAC, BAL cytology are enormously important to diagnose lung cancer in early stage so that further mortality & morbidity can be minimized.
Distal appendicular skeletal involvement is a rare finding. Skeletal metastases by far is ranked 3rd in place after liver & brain. Among the skeleton, axial skeleton has a predilection. We report a 65-year-old male with lung cancer with distal ulnar metastases. Patient has swelling of left wrist from last 6 months. Physical examination revealed ill-defined, painful, swelling of left wrist joint. Radiograph revealed permeative destruction of distal ulna. On examination infectious/neoplastic etiology was considered but on evaluation the primary was found to be lung malignancy with distal ulnar metastases.
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