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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Martinez, GE; Coursey, CA; Dodd, L; Martinez, S

Published Date

  • August 2008

Published In

Volume / Issue

  • 37 / 8

Start / End Page

  • 763 - 766

PubMed ID

  • 18496688

International Standard Serial Number (ISSN)

  • 0364-2348

Digital Object Identifier (DOI)

  • 10.1007/s00256-008-0489-5


  • eng

Conference Location

  • Germany