Myeloma with pathological fracture

Case contributed by Dr Derek Smith


Known myeloma with diffuse skeletal deposits. Worsening right leg pain, especially on weightbearing.

Patient Data

Age: 80 years
Gender: Male

Multiple lytic lesions with scalloping of the long bone cortices.

Periosteal reaction along the lateral aspect of the proximal tibia, with a smaller posteromedial component.

This supports the history and is consistent with a pathological fracture through a myelomatous deposit.

Case Discussion

Disseminated lytic lesions should make you think of myeloma. If there is a history of pain, look carefully for evidence of fracture or a healing fracture as in this case.

PlayAdd to Share

Case information

rID: 62101
Published: 1st Aug 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.