Sclerotic bony metastases

Case contributed by Dr Vikas Shah

Presentation

Vague pain in both hips. Raised calcium and alkaline phosphatase.

Patient Data

Age: 75
Gender: Male

Pelvis x-ray

Modality: X-ray

Patchy sclerosis is present within the superior and inferior pubic rami on both sides of the pelvis. Mild degenerative change is seen in both hips joints. No fracture or dislocation.

Bone scan

Modality: Nuclear medicine

Intense radiotracer activity is present in the pelvic bones at the sites of abnormality on the x-ray. In addition, there are numerous other foci of activity involving the ribs, vertebrae, and left femoral neck.

Case Discussion

In an older male patient with new sclerotic bony lesions, metastasic disease from prostate carcinoma is the top differential.

PlayAdd to Share

Case Information

rID: 50181
Case created: 22nd Dec 2016
Last edited: 8th May 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.