Presentation
Left pleuritic chest pain.
Patient Data
Age: 50-55 years
Gender: Female
From the case:
Forequarter amputation for metastatic breast cancer
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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
From the case:
Forequarter amputation for metastatic breast cancer
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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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