Humerus metastasis from renal cell carcinoma with pathological fracture

Case contributed by Dr Lawrence Chia Wei Oh

Presentation

Right shoulder pain.

Patient Data

Age: 70
Gender: Male

This x-ray demonstrates a ill-defined lucency with mottled appearence in the right proximal humeral shaft. Adjacent periosteal reaction and thinning of the overlying cortex are also noted. These appearences suggestive of bone metastasis. 

Patient represented to the emergency department after 3 days with worsening of his right shoulder pain

Modality: X-ray

The x-ray subsequently demonstrates that there is a oblique pathological fracture across the proximal humeral shaft.

Patient then went on to have open reduction and internal fixation of right humerus

Modality: X-ray

An intramedullary rod is noted transversing the pathological fracture through the lucent lesion in proximal humeral shaft. Alignment is anatomical.

Case Discussion

Patient has history of renal cell carcinoma.

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Case Information

rID: 28870
Case created: 18th Apr 2014
Last edited: 26th Oct 2015
Inclusion in quiz mode: Included

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