Presentation
Squamocellular carcinoma of the lung. Swelling develops at the level of the middle third of the tibia. Smoker.
Patient Data
The lesion is well-seen only in the lateral projection
Subcutaneous and periosteal reaction is demonstrated an ultrasound exam
The examination documents the presence of a coarse lesion, mainly osteolytic, affecting the cortical bone of the diaphysis of the tibia that induces bone destruction associated with subcutaneous tissue reaction.
Coexist a fistula with the medullary cavity.
Sagittal reconstructions and axial image, bone and tissue window, and 3D image
Case Discussion
Squamous cell carcinoma of the lungs can, frequently, give bone metastasis, mostly osteolythic.
In this case, the metastasis is located in the third od tibial diaphysis
Biopsy of the lesion proved: "metastasis from squamocellular carcinoma of the lung".