Non-small cell lung cancer presenting as “psoas muscle syndrome”

https://doi.org/10.4081/monaldi.2019.1012

Authors

  • Mariano Mollica | mollicamariano@gmail.com Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
  • Rosalba Maffucci Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
  • Sabrina Lavoretano Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
  • Gaetano Rea Radiology Unit, Monaldi Hospital, Naples, Italy.
  • Francesco Saverio Cerqua Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
  • Luigi Aronne Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
  • Andrea Bianco Department of Translational Medical Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
  • Fabio Perrotta Department of Medicine and Health Sciences “Vincenzo Tiberio”, University of Molise, Campobasso, Italy.

Abstract

Lung cancer is the leading cause of cancer-related death worldwide and majority of patients are diagnosed in advanced/metastatic disease stage. Sites of distant metastases mainly include contralateral lung, lymph nodes, brain, bones, adrenal glands and liver; skeletal muscles metastases (SMMs) are less common. Psoas muscle and diaphragm metastases are mainly found during autopsy, as their involvement commonly is asymptomatic. We report a case of a 60-year-old female, suffering from non-small cell lung cancer (NSCLC), with refractory lower back pain, as expression of malignant psoas syndrome (MPS). MPS is a rare and difficult-to-treat cancer-pain syndrome, unresponsive to majority of analgesic therapy, related to psoas muscle metastasis; it is usually caused by different tumors such as uterus, ovary, bladder, prostate, colon-rectum, lymphoma, melanoma and sarcoma and represents an uncommon finding in NSCLC patients. 

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Published
2019-04-05
Info
Issue
Section
Pneumology - Case Reports
Keywords:
NSCLC, skeletal muscles metastases, psoas muscle syndrome
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  • PDF: 613
How to Cite
Mollica, Mariano, Rosalba Maffucci, Sabrina Lavoretano, Gaetano Rea, Francesco Saverio Cerqua, Luigi Aronne, Andrea Bianco, and Fabio Perrotta. 2019. “Non-Small Cell Lung Cancer Presenting As “psoas Muscle syndrome””. Monaldi Archives for Chest Disease 89 (1). https://doi.org/10.4081/monaldi.2019.1012.

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