title: Cancer lung: An unusual presentation.
abstract: Phalanx bone metastasis as the initial manifestation of lung cancer is a rare presentation. A 70-year-old man presented with swelling and pain in his right ring finger. He had no other complaints or abnormal findings on clinical examination. A right hand radiograph showed an osteolytic lesion in the first phalanx of the ring finger. Fine needle aspiration cytology of the swelling suggested a metastatic adenocarcinoma. A skeletal survey, hematological, biochemical, and other radiological tests were found to be normal, except for an opacity seen in the right lung midzone. A bronchoscopic biopsy revealed adenocarcinoma of the lung.
authors.affiliation: Department of Radiotherapy, Mathura Das Mathur Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India.
authors.forename: Shankar L
authors.initials: SL
authors.lastname: Jakhar
authors.forename: Rohitashwa
authors.initials: R
authors.lastname: Dana
authors.forename: D P
authors.initials: DP
authors.lastname: Punia