Atypical dissemination of lung cancer to the adrenal gland and to the spleen.

Metastases of lung cancer to such organs as the liver, bones or to the central nervous system appear to be a frequent complication of this disease. At the same time, metastases to the adrenal gland are found less frequently. Metastases of lung cancer to the spleen are a great rarity and they are described sporadically. Our report presents a unique case of left lung cancer with simultaneous metastases to the adrenal gland and to the spleen. All the presented lesions were diagnosed by ultrasound guided biopsy and confirmed by histopathological examination. The patient received combined chemoradiotherapy. She was closely monitored over an 18-month observation period following treatment. No new metastases were reported.

[The case of 57-year-old patient with ornithosis]. / Przypadek ornitozy u 57-letniego chorego.

The authors describe the case of ornithosis in the form of severe pleuropneumonia with breathing disorders. They emphasize that the proper diagnosis and consequently the treatment have been achieved by the detailed anamnesis and not by additional tests, as the immune reaction was found after full remission of pathological lesions.