Bone Metastases (Subscribe)  

Malignant disease should be remembered in the differential diagnosis of common rheumatological disorders. We present a present a patient whose pain was found to be due to mailgnant disease and not due to simple trochanteric bursitis
Metastatic bone disease presenting as trochanteric bursitis. Hutchings C, Hull R. J R Soc Med. 1997 Dec;90(12):685-6

Spinal fractures are a common source of morbidity in cancer patients. Balloon Kyphoplasty (BKP) is a minimally invasive procedure designed to stabilize fractures and correct vertebral deformities. We performed a meta-analysis to determine the efficacy and safety of BKP for spinal fractures in cancer patients.
Balloon kyphoplasty in malignant spinal fractures:...

Sensitivity . . 98%
* False negatives:
o multiple myeloma
o thyroid Ca
o small, purely lytic lesions
...

* rhabdomyosarcoma
* neuroblastoma
* histiocytosis X
would add Ewing's (OWL editor)

* anaplastic tumors
* reticulum cell sarcoma
* renal cell Ca
* thyroid Ca
* histiocytosis
* neuroblastoma
* multiple myeloma (positive scan usually due to recent or...

Mature adult male with weakness in both legs. The view shows a myelogram after cervical injection of contrast, probably iodinated oil. This undocumented case in our museum dates from before the days of CT scanning. The contrast was introduced by insertion of a needle under fluoscopic control into the cervical theca...

ACR-code 322-3310 Clinical presentation: A patient with previous mastectomy now with neck pain and lower limb weakness.
The plain image shows a complex appearance with a soft-tissue density behind the medial end of the right clavicle and a destructive process on the right side of the 2nd and 3rd thoracic vertebrae...

Radiology case 321-3316 75 year old man with back pain and a history of cough.
There is a destructive lesion of the (7th) thoracic vertebra. A normal vertebral body should appear intact in an axial cut at the level of the pedicles, which should include both. Divergence of the bronchi reveals...

Radiology case 448-3318 Two and a half year old boy with an abdominal tumour.
There is a general lytic process, which is most marked in the metaphyses of the femora, but also affects the diaphyses to a lesser degree. Patchy bone loss is also present in the pelvis, particularly pubis and...

Radiology case 331-3316 Clinical presentation: 42 year old man with known carcinoma of the bronchus and recent onset of acute back pain.
Pathologic fracture of body of lumbar vertebra. The pedicles are intact. The back of the vertebra is missing. The observation is that pedicle and body should both be on...

Radiology case 471-3310 Clinical presentation: 80 year old woman with a lump in the breast and back pain.
There is a defect in the upper surface of the anterior end of the left 2nd rib and a larger defect in the posterior border of the right third rib.

Radiology case 4411-3310
The many medical students, to whom I have shown this, all fixate on the calcifications in the spleen. They then notice the calcification in the undersized left kidney and the mid-line calcifications. The absent right hemidiaphragm shadow or right mastectomy are noticed next. The right lower lobe...

Radiology case 454-3310 70 year old woman with known carcinoma of breast. There is a lytic expanding lesion of the metaphysis of the tibia. The endosteal transition seems narrow and the overlying cortex appears intact, but irregularly thinned. The pathology extends to the joint margin, but does not cross it. There...

Discussion; Types; Work-up; Treatment

eMedicine article