Small cell lung cancer presenting with a left iliac fossa mass.
We report a 59-year-old lifelong smoker with severe chronic obstructive pulmonary disease who presented with an acute onset 3-day history of left iliac fossa pain and abdominal distension. Clinical examination revealed a palpable mass in the left iliac fossa. The differential diagnosis was that of a diverticular abscess or colonic tumour. She subsequently underwent a CT scan which showed extensive metastatic liver disease from a primary lung tumour, with hepatomegaly abutting the anterior abdominal wall in the left iliac fossa.
NHS, London, UK.
Hannah
H
Jethwa
Louis
L
Savage
D001859:Bone Neoplasms / Q000556:secondary; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007085:Ilium / Q000473:pathology*; D008113:Liver Neoplasms / Q000556:secondary; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D009362:Neoplasm Metastasis; D055752:Small Cell Lung Carcinoma / Q000175:diagnosis* / Q000473:pathology