Pulmonary Hypertrophic Osteoarthropathy and Clubbing of Fingers in Patients with Lung Cancer.

• Hirakata Yoichi

  Department of Pulmonary Medicine, Jichi Medical School

• Kitamura Satoshi

  Department of Pulmonary Medicine, Jichi Medical School

Bibliographic Information

Other Title

• ばち状指または肺性肥大性骨関節症を呈した原発性肺癌症例の臨床的検討

Abstract

We examined clinical characteristics of patients with primary lung cancer associated with clubbing of the fingers or pulmonary hypertrophic osteoarthropathy. Clubbing was observed in 12.5% of patients with lung cancer. Squamous cell carcinoma was frequently associated with clubbing. Clubbing was found in all clinical stages. PaO₂ and PaCO₂ were normal in patients with lung cancer, which suggests that neither hypoxemia nor hypercapnia caused the clubbing in these patients. Pulmonary hypertrophic osteoarthropathy was found in three patients with lung cancer (two men and one woman, mean age 49 years). The incidence was 2.9% among lung cancer patients with clubbing, 0.22% in all lung cancer patients, and was apparently lower than those in reports from outside Japan. One of these patients has stage IIIA squamous cell carcinoma, one had stage IV large cell carcinoma, and one had stage IV adenocarcinoma. In all cases bone scans were useful for diagnosis and for following the clinical course.

Journal

• The Japanese journal of thoracic diseases

  The Japanese journal of thoracic diseases 33 (10), 1080-1085, 1995

  The Japanese Respiratory Society

Keywords

• Primary lung cancer
• Clubbing of fingers
• Pulmonary
• hypertrophic osteoarthropathy
• Pulmonary emphysema

Details

• CRID: 1390282679992654336
• NII Article ID: 130003678687
• NII Article ID: 10008108340
• NII Book ID: AN00187758
• DOI: 10.11389/jjrs1963.33.1080
• COI: 1:STN:280:BymD1M3itlc%3D
• ISSN: 1883471X
• ISSN: 03011542
• PubMed: 8544379
• Web Site: https://search.jamas.or.jp/link/ui/1996089379
• Text Lang: ja
• Data Source:
  • JaLC
  • PubMed
  • CiNii Articles
  • Crossref
• Abstract License Flag: Disallowed