Pathological fracture of the humerus - renal carcinoma

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Swollen, deformed right arm. No significant trauma.

Patient Data

Age: 70 years
Gender: Female

Displaced fracture of the humeral diaphysis.  The fracture is through a lucent intramedullary lesion with a wide zone of transition.

No other bone lesions in the visualized skeletons.

Case Discussion

Pathological fractures typically occur with minimal trauma.  In this case, a striking aggressive bone lesion lies in the bone at the fracture site.

Following surgical fixation, the patient was diagnosed with metastatic renal cell carcinoma.

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