Pathological fracture of the femoral shaft - renal cell carcinoma

Case contributed by Dr Bruno Di Muzio

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

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.

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Case information

rID: 26536
Published: 27th Dec 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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