Presentation
Known small cell lung carcinoma
Patient Data
Age: 65
Gender: Male
From the case:
Bony metastasis from small cell lung carcinoma
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There is a lytic bone lesion with periosteal reaction and cortical destruction in the mid shaft of the right femur. Calcification of the right femoral artery is noted.
Case Discussion
The differential diagnosis for a lytic bone lesion would include :
- osteomyelitis
- primary bone tumor or
- bony metastases (In this case, given the history of known small cell lung cancer, the most likely diagnosis would be metastatic disease.)