Bone metastasis - femur

Case contributed by Dr Lawrence Chia Wei Oh

Presentation

Left thigh pain and swelling

Patient Data

Age: 80
Gender: Male
X-ray

This x-ray demonstrates several lytic lesions in the left femur. The largest lesion located at the junction of middle and lower third of the femoral shaft with significant destruction of the cortex. 

X-ray

Patient went on to have prophylactic pinning of his left femur

This x-ray demonstrates that the intramedullary nail and screw are in place with no evidence of periprosthetic fracture. Hip and knee alignment are anatomical.

Case Discussion

This patient has a known history of NSCLC with bone and brain metastasis. Given the history of malignancy and appearance of the lytic lesions, these are in keeping with bone metastasis.

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Case information

rID: 28869
Published: 18th Apr 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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