title: Simultaneous pectoralis major muscle and orbital metastasis as the primary presentation of pulmonary adenocarcinoma.
abstract: A 63-year old male with chronic shoulder pain and painful left eye with binocular diplopia of sudden onset was seen independently by Ophthalmologists and his family Doctor and investigated first non-invasively where masses were found both in the orbit and pectoralis muscle. Further investigations including biopsy confirmed non-small cell lung carcinoma with metastasis to these sites; unusual sites of tumour metastasis and the first reporting of such tumour behaviour.
authors.affiliation: Department of Ophthalmology, Pilgrim Hospital, Boston, PE21 9QS, United Kingdom.
authors.forename: C
authors.initials: C
authors.lastname: Olali
authors.forename: M
authors.initials: M
authors.lastname: Gupta
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary*; D000077192:Adenocarcinoma of Lung; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000556:secondary*; D009918:Orbital Neoplasms / Q000556:secondary*; D010369:Pectoralis Muscles