Pubic bone metastasis as first manifestation of lung cancer

english

2003

volume 37, issue 4

Adenocarcinoma   Aged   Bone Neoplasms   diagnostika   Lung Neoplasms   Neoplasm Metastasis   Pubic Bone   Secondary

Društvo radiologije in onkologije
(Obvezni izvod spletne publikacije)

Background. Pubic bone metastasis as the initial manifestation of lung cancer is very rare, and it may simulate parasymphyseal insufficiency fracture of thepubic bone, which is observed in postmenopausal women and elderly people. Case report. A 65-year-old woman developed pain in the right flank, which extended to the anterior aspect of the thigh. A pelvic X-ray showed osteolyticlesion in the right pubic ramus. Chest radiograph revealed a nodularmass in the right middle lobe of the lung. Transbronchal biopsy of the mass led to tlve diagnosis of lung adenocarcinoma. The patient was given radiotherapy of osteolytic lesion in her right pubic ramus and the pain was controlled with a combination of morphine sulfate. Conclusions. When unusual bone metastasis is found in the absence of a primary tumor, investigation mustinclude chest radiographs.

16.09.2009