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Year : 2010  |  Volume : 6  |  Issue : 3  |  Page : 397-399

Massive scapular metastasis as a presenting feature of carcinoma of the lip

1 Department of Pathology, Medical College, Kolkata - 700 073, India
2 Department of Medicine, Nil Ratan Sircar Medical College, Kolkata - 700 014, India

Correspondence Address:
Sanjay K Bandyopadhyay
1B/3, Uttarpara Housing Estate, 88 B, G T Road, P.O.- Bhadrakali, Dist- Hooghly - 712 232, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-1482.73338

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Carcinoma of the lip is a slow-growing locally-advanced disease with low metastatic potential. Distant skeletal metastasis is reported very rarely and the vertebral column is the most common site. A 58-year-old male smoker presented with pain and massive swelling of the left scapula for six months. He also noticed a slowly-growing painful ulcerated lesion on the outer aspect of the right lower lip for last two years. Biopsy from the lip ulcer, as well as cytologic smears from the scapular mass, revealed features of squamous cell carcinoma. Though no neck node was detected, patient was found to have extensive skeletal metastasis on whole body bone scan. It is rare as well as clinically appealing to have such disfiguring symptomatic massive scapular meastasis as the chief presenting feature in carcinoma of the lip.

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