Osteolytic metastases from lung carcinoma

Case contributed by Iqbal Naseem
Diagnosis almost certain

Presentation

A 42 years old man with known clinical history of lung carcinoma presented with pain in pelvic region.

Patient Data

Age: 42 years
Gender: Male

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.

Case Discussion

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.

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