Osteoblastic metastases from non-small cell lung carcinoma

Case contributed by Dr Chris O'Donnell

Presentation

Severe pelvic pain in patient with known NSCLC ? bone metastasis

Patient Data

Age: 55
Gender: Male

Large right paratracheal mass (known NSCLC primary) with multiple miliary lung parenchymal metastases.

Large mixed lytic and sclerotic metastasis in the right hemiplevis (and left) showing typical sunburst periosteal new bone as usually seen in osteosarcoma or less commonly Ewings sarcoma. Note associated large soft tissue component.

Case Discussion

Non small cell lung cancer is common. One of the typical sites of metastasis, aside from mediastinal lymph nodes, liver and adrenal glads is the bones.

Bone metastases in lung cancer may be lytic, sclerotic or mixed.

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Case Information

rID: 28814
Case created: 13th Apr 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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