Hypertrophic pulmonary osteoarthropathy in pulmonary metastatic disease. A case report and review of the literature.

We present a case of a woman with pulmonary metastatic disease from breast carcinoma who presented with features of pulmonary osteoarthropathy (HPOA). We document the unusual presentation with classical features of HPOA in the absence of finger clubbing and the response of the scintigraphic appearances to antitumor chemotherapy.