2025-11-272025-11-27http://hdl.handle.net/2263/106556Clinical history : A 43 year old male who was in a confused state with pronounced cachexia.Radiographs showed osteoporosis and lytic lesions of the first rib.Autopsy findings : 1. Good differentiating sqamous cell carcinoma of the right superior lobar bronchus.2. Metastasis in ribs, vertebral coloumn, thyroid and lymph nodes.3. Bilateral septal tuberculosis.Diagnosis: Metastatic Squamous cell carcinomaM791: Vertebral column