Pathological fracture of the femoral shaft - renal cell carcinoma metastasis
Diagnosis almost certain
Presentation
Fracture of the right femur during walking. No known history of malignancy at the time of presentation.
Patient Data
Age: 55 years
Gender: Male
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Proximal diaphyseal fracture of the right femur. There are ill-defined soft tissues component throughout the fracture.
Case Discussion
The history of fracture and its aspects of imaging suggests a pathological fracture.
The patient underwent an abdominal CT that showed (not available) a 6 cm mass in the left kidney.
The patient was treated with segmental bone resection and reconstruction with a modular titanium diaphyseal endoprosthesis.
The diagnosis was confirmed as a metastatic renal cell carcinoma.