PT - JOURNAL ARTICLE AU - Becky Hirst AU - Jack Powell TI - Muscle metastases: rare problem with unusual solution AID - 10.1136/bmjspcare-2018-001491 DP - 2018 Feb 02 TA - BMJ Supportive & Palliative Care PG - bmjspcare-2018-001491 4099 - http://spcare.bmj.com/content/early/2018/02/01/bmjspcare-2018-001491.short 4100 - http://spcare.bmj.com/content/early/2018/02/01/bmjspcare-2018-001491.full AB - 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.