even all straight through the skin. But that’s
not the only way, lung cancer can present.
As I mentioned before, lung cancer does
affect many parts of body via metastases and
can present to almost any specialty as a consequence.
Now here we have some of the common presentations
that you may get with distal metastases from
lung cancer. So it commonly metastasize to
the brain, to the bone, to the liver, to the
cervical nodes, to the other lung, and to
the pleura. They also commonly metastasize
to adrenal glands but thats usually asymptomatic.
If you have pleural metastases then the patient
would develop a pleural effusion, it maybe an exhudative
pleural effusion and they will present with
breathlessness as increasing as the effusion
gets bigger over period perhaps a few weeks.
Lung metastases are often asymptomatic.
It is just picked upon x-ray. Cervical nodes
will be a palpable mass not tender but firm,
can be fixed with the underlying tissue and its
palpable in the neck region.
Brain metastases present like a space occupying
lesion that is the patient has head ache.
That gets worst over time. It's worst in
the morning. They may have focal neurological
signs depending on where the metastases is
present and they may present with seizures.
In fact brain metastases are probably from lung cancer.
In the age over 65, is the commonest
cause of space occupying lesions. Bone metastases present with
pain where the bone has been affected and potentially
if it's a spinal bone you can actually also get
a cord compression. So lung cancer is a
cause of a spastic paraparesis and acute
Spread to the liver is usually asymptomatic
but can be felt when you can clinically examine the
patient, that has a normal hepatomegaly and occasionally
can cause pain in the right upper quadrant
and nausea of the very extensive. So as well
as metastases which have spread to different