Forequarter amputation for metastatic breast cancer

Case contributed by Craig Hacking

Presentation

Left pleuritic chest pain.

Patient Data

Age: 50-55 years
Gender: Female

Dual-lumen right jugular Hickman catheter in situ, tip in the right atrium. Evidence of right forequarter amputation, left mastectomy and axillary clearance. The lungs and pleural spaces are clear. Left apical pleural thickening similar to the previous study. Heart size and mediastinal contours are normal.

Per-amputation shoulder X ray

x_ray

Large destruction lesion in the proximal half of the humerus with associated soft tissue mass is again demonstrated with some periosteal new bone distally.

Case Discussion

Histology of the amputated specimen was positive for metastatic breast cancer.

Breast cancer and lung cancer are the most common metastatic lesions to cause such a destructive long bone metastasis.

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