Expansile and lytic skeletal metastases: from renal cell caricnoma
Pain in the left humerus even at rest with raised serum calcium level.
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Patient also had multiple liver metastases; USG guided FNAC analysis of liver secondaries reveal metastatic renal cell carcinoma.
Renal metastases in the bone are generally solitary, and are invariably lytic, expansile lesion. This lesion are hypervascular with no periosteal reactions.
other similar expansile lytic bone lesion is thyroid metastases.