A very rare localization of metastatic lung carcinoma to the interosseous membrane.
BACKGROUND
Soft tissue is a rare localization of carcinoma metastasis. Skeletal muscle is considered the most frequent site. The aim of this paper is to report a very rare localization of soft-tissue metastasis of lung adenocarcinoma in the lower leg interosseous membrane, surgically treated at our department.


METHODS
A 66-year-old man with a history of lung adenocarcinoma was admitted to our department because he complained of a pain resistant to drugs that had persisted for 1 month. Imaging showed that the lesion was unique, localized in the interosseous membrane, with a distal margin more than 2 cm above the ankle platform. A distal fibula resection, including the tumour and a reconstruction according to Capanna type A2 was performed.


RESULTS
At the 6 months follow-up, the patient was walking without external support.


CONCLUSIONS
Surgery is not the treatment of choice for soft-tissue metastases, but it may be recommended when the lesion is unique and inducing a pain resistant to anti-inflammatory drugs.
Maccauro
G
G
Department of Orthopaedics, Catholic University, Rome, Italy. Giuliomac@tiscali.it
Liuzza
F
F
Muratori
F
F
Falcone
G
G
Gosheger
G
G
Gosegher
G
G
D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary*; D000368:Aged; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary*; D005360:Fibula / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D016896:Treatment Outcome