Combined small-cell lung carcinoma (SCLC) is a rare tumor. We report a case of combined SCLC of the lung, including adenocarcinoma and spindle-shaped cell rumor, with an unusual initial presentation. The patient suffered from a right shoulder mass, subsequently undergoing biopsy. A lung nodule was noted later after complete examination. The diagnosis turned out to be combined cell carcinoma with three different components (small-cell carcinoma, adenocarcinoma, and spindle-shaped cell tumor) after examination upon total removal of the lung nodule by lobectomy. In addition to the rarity of the three components in such a tumor, soft tissue metastasis also made it an unusual case. © 2006 Elsevier. All rights reserved.
Hsiao, H. H., Tsai, H. J., Liu, Y. C., Tseng, Y. T., Tseng, S. B., Chai, C. Y., & Lin, S. F. (2006). A rare case of combined small-cell lung cancer with unusual soft tissue metastasis. Kaohsiung Journal of Medical Sciences, 22(7), 352–356. https://doi.org/10.1016/s1607-551x(09)70322-5