Bone metastasis from renal cell carcinoma

Case contributed by Oscar Valenzuela
Diagnosis almost certain

Presentation

Patient with chronic pelvic pain. History of previous femur fracture 5 years ago. Renal cell carcinoma diagnosed few days before the pelvis x-rays.

Patient Data

Age: 55 years
Gender: Male

Multiple osteolytic lesions in the pelvis and femur. Previous femur fracture, likely a metastasis causing a secondary fracture.

Additional Images showing a tumor on the inferior pole of the right kidney with irregular margins, and some anecoic regions, probbale areas of necrosis. There are small intralesional hypoechoic areas, compatible with tumor necrosis.

Case Discussion

This case shows large right renal malignancy with extensive bone metastases with pathological fracture of the left femur managed with left hip prosthesis.

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