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Vol.37 No.1 contents | Japanese/English |
- Case Report -
A Case of Adenocarcinoma of the Lung Associated with Dermatomyositis in a 36 Year-Old Man
Masanori Sakurai, Makoto Nishio, Atuya Karato, Izumi Hayashi, Takahiro Watanabe* and Masutaka Hurue*Division of Internal Medicine, Cancer Institute Hospital, *Department of Dermatology, University of Tokyo, Branch Hospital
A 36-year-old man with adenocarcinoma of the lung was referred to our hospital for treatment. The clinical stage was IIIB (T4N2M0). Radiotherapy with low-dose daily cisplatin administration (5 mg/body/day) was started. Muscle weakness appeared with characteristic rashes on his face and finger joints, which led to the diagnosis of dermatomyositis. Although dermatomyositis improved with prednisolone administration, the lung cancer progressed, spreading to thoracic and lumbar vertebrae and eventually multiple intrapulmonary and liver metastases, causing death in 7 months after admission. It is noteworthy that the bone metastases were not detected by bone scintigraphy. We demonstrated a rare case of a 36-year-old man adenocarcinoma of the lung associated with dermatomyositis.
key words: Adenocarcinoma, Lung cancer, Dermatomyositis, Bone scintigraphy, False-negative
Received: September 11, 1996
Accepted: November 13, 1996
JJLC 37 (1): 87-91, 1997
