Calcified Metastases From Carcinoma Lung

Reports of calcifying metastases of the liver in cases of lung cancer are sparse in literature. Several cases of calcifying liver metastases in cases of adenocarcinomas of gastrointestinal tract, bone tumours and ovarian tumours have been described. Reports of calcification developing in the primary tumours and the metastatic foci on resumption of chemotherapy are well known too.1 Also the presence of calcification in pulmonary cancers is considered generally as a pointer towards a possible benign nature. However studies have shown that calcification as a criterion to determine the benign nature is fallacious and can be misleading. Mechanism of calcification can be due to engulfment of a benign calcification or due to an intrinsic mechanism.2 Synchronous tumours of the lung are found occasionally and are associated with a poorer prognosis. Synchronous tumours of the lung have been described as two different tumours existing in different lobes or different sides of the lungs at the same time.3 Here we describe an interesting case of synchronous primary lung cancer with calcification and multiple calcified liver metastases.