Presentation
Known carcinoma of the prostate with left groin pain.
Patient Data
Age: 85 years
Gender: Male
From the case:
Exuberant sclerotic metastasis - prostate cancer
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Sclerotic mass in the left pubic rami with exuberant new bone formation.
From the case:
Exuberant sclerotic metastasis - prostate cancer
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Multiple foci of abnormal isotope uptake throughout the axial skeleton including the left pubic rami (arrows). Note the full bladder full of excreted isotope. The patient was unable to empty the bladder due to prostate enlargement.
Case Discussion
Bone metastases from prostate cancer are usually sclerotic but are rarely associated with such dramatic new bone formation.