This is an extraction from a news report from XiaMen, China.

A 32 year-old man presented with sudden onset of priaprism for past 2 weeks. The cause of the priaprim according to the urologist, was due to inferior vena cava obstruction secondary to lung cancer.

He died after 40 days after the appearance of the symptoms.

The report brings me back to a medical case which I saw in Hospital Seremban 1 year ago.

A 60 year-old man who a chronic smoker was admitted for sudden onset of seizure and subsequent became drowsiness. A detail physical examination reveal the man had dilated vein around his umbilical region. CT scan reveals multiple lesions. Patient was later referred to Prof Richard. Based on the history, clinical signs and image studies, a diagnosed of seizure was due to secondary tumours in brain secondary to lung cancer. And most likely the it is of squamous cell type of lung cancer as the patient had finger clubbing and hypercalcaemia.

Image of brain metastases (taken from nature.com)