Patellar metastases are very rare. There have been approximately 20 ca
ses reported in the literature. We have also noted two Other reports o
f patellar metastasis from lung carcinoma as the first manifestation o
f lung cancer in our literature review. We present a case of patellar
metastasis; as the first manifestation of lung epidermoid carcinoma in
a patient who was a smoker for 33 years.