1病例报告患者男,70岁。2年前无明显诱因出现四肢无力,蹲起、行走、双上肢抬举等困难,吞咽干性食物有哽噎感。于当地医院行胸部增强CT检查,发现左肺上叶后段不整形结节病变;颈部彩色多普勒超声检查见左侧锁骨上、下区淋巴结肿大。颈部淋巴结活检回报转移癌(考虑来源于肺部)。转院做左肱二头肌组织 1 case report patient male, 70 years old. 2 years ago, no obvious incentive to limb weakness, squatting, walking, lifting the upper extremities and other difficulties, swallowing dry food with a sense of discontent. Thoracic enhanced CT examination in the local hospital found that the posterior segment of left upper lobe non-plastic nodules lesions; neck color Doppler ultrasound showed the left supraclavicular lymph nodes in the upper and lower swollen. Cervical lymph node biopsy returns metastases (consider lung origin). Transferred to the left biceps tissue