Femoral metastasis: breast cancer

Case contributed by Dr Henry Knipe

Presentation

Hip pain.

Patient Data

Age: 50
Gender: Female

Predominantly lytic lesion of the proximal femoral metadiaphysis and both trochanters with cortical thinning but no fracture is identified. 

99mTc-MDP bone scan.

Nuclear medicine

There is extensive osteoblastic abnormality consistent with advanced osseous metastases. These include multiple focal skull lesions, left glenoid, right distal humeral and left proximal femoral appendicular metastases, multiple rib, extensive thoraco-lumbar infiltration and multifocal pelvic disease including the majority of the sacrum.

Case Discussion

Patient had been newly diagnosed with breast cancer

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