Expansile and lytic skeletal metastases: from renal cell caricnoma

Case contributed by Dr Subash Thapa

Presentation

Pain in the left humerus even at rest with raised serum calcium level.

Patient Data

Age: 73 yrs
Gender: Male

Central, diaphyseal, bubbly, expansile, lytic lesion involving the mid shaft of the left humerus with no evidence of periosteal reaction or calcifications

Case Discussion

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.

 

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Case information

rID: 40234
Case created: 13th Oct 2015
Last edited: 15th Jun 2017
Inclusion in quiz mode: Included

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