Osteolytic metastases from lung carcinoma
A 42 years old man with known clinical history of lung carcinoma presented with pain in pelvic region.
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Radiograph pelvis with b/l hip joints was done.
Radiograph pelvis showing two geographical areas of bone destruction involving left iliac bone with gross thinning of bony cortex and cortical breach.
In a patient with lung cancer, the majority of bony metastases are osteolytic in nature.
Commonest primaries resulting in lytic bone metastases include breast, lung and bowel.