A case of hypertrophic pulmonary osteoarthropathy with epidermoid type of bronchogenic caricinoma with age of 55 was presented. He had a history of 3 months pain around knee joints and lower legs with slight enlargement of both hands and feet. Physical examination showed decreased breathing sounds on the left lower lungfield and non-pitting edema on both hands and feet with clubbing fingers and toes. Roentogenogram for A-P view of the chest disclosed an adult fist sized compact density in the left lower lungfield and those for both forearms, lower legs, hands and feet revealed severe periosteal proliferation. Histopathology of the tumor in the lung was epidermoid type of bronchogenic carcinoma.