Skeletal metastases from breast carcinoma

Case contributed by Dr Nikola Todorovic , 13 Apr 2017
Diagnosis almost certain
Changed by Vikas Shah, 18 Apr 2017

Updates to Case Attributes

Title was changed:
Skeletal metastases from the breast carcinoma
Diagnostic Certainty was set to .
Presentation was changed:
Severe pain. The patientPatient is on the paliativereceiving palliative therapy.
Age changed from 50 to 50 years.
Body was changed:

In 2014 the patient was diagnosed with invasive lobular breast carcinoma and underwent tumorectomytumour removal surgery, as well as radiotherapy and chemotherapy with FAC protocol, which was interrupted because of prolonged pancytopenia.

Bone marrow biopsy showed diffuse metastatic infiltration.

The patient is now on palliative pain therapy and regular outpatient follow-up examinations.

  • -<p>In 2014 the patient was diagnosed with invasive lobular breast carcinoma and underwent tumorectomy, as well as radiotherapy and chemotherapy with FAC protocol, which was interrupted because of prolonged pancytopenia.</p><p>Bone marrow biopsy showed diffuse metastatic infiltration.</p><p>The patient is now on palliative pain therapy and regular outpatient follow-up examinations.</p>
  • +<p>In 2014 the patient was diagnosed with invasive lobular breast carcinoma and underwent tumour removal surgery, as well as radiotherapy and chemotherapy with FAC protocol, which was interrupted because of prolonged pancytopenia.</p><p>Bone marrow biopsy showed diffuse metastatic infiltration.</p><p>The patient is now on palliative pain therapy and regular outpatient follow-up examinations.</p>

Updates to Study Attributes

Findings was changed:

There are diffuse skeletal, dominantlypredominantly osteolytic lesions, involving the skull, spine, ribs, pelvis and proximal parts of the femur bilaterally.

There are also pathological fractures of the Th4T4 and Th10T10 vertebrae.

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