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Muscle metastases: rare problem with unusual solution
  1. Becky Hirst1 and
  2. Jack Powell2
  1. 1 Barnsley Hospice, Barnsley, UK
  2. 2 University of Sheffield Medical School, Sheffield, UK
  1. Correspondence to Dr Becky Hirst, Barnsley Hospice, Barnsley, S75 2RL, UK; rebeccahirst{at}


Skeletal muscle is an unusual site for metastasis from malignancy. We report a patient who presented with calf metastases from a squamous cell carcinoma of lung. Attempts were made to control his pain conservatively for almost 2 years before he was referred for a below-knee amputation. He did well following this and was able to stop the majority of his analgesic drugs.

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  • Contributors JP interviewed the patient and wrote the patient’s account. BH drafted the report, and both authors revised it critically leading to the final approved version.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval The patient provided written informed consent and amended the draft of the article. The Health Research Authority decision tool was used to determine whether ethical approval was needed; as this was not a study involving research, the decision was that ethical approval was not necessary.

  • Provenance and peer review Not commissioned; internally peer reviewed.