Metastatic prostate carcinoma: A rare presentation initially misdiagnosed as a rib fracture.

Autor: Trent SM; Georgetown University School of Medicine, 3900 Reservoir Road NW, Washington, DC 20007, USA., Krumme JW; Department of Orthopaedic Surgery, Medstar Washington Hospital Center, 110 Irving Street NW Washington, DC 20010, USA., Henshaw RM; Department of Orthopaedic Surgery, Medstar Washington Hospital Center, 110 Irving Street NW Washington, DC 20010, USA.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2020 Aug 05; Vol. 15 (10), pp. 1795-1798. Date of Electronic Publication: 2020 Aug 05 (Print Publication: 2020).
DOI: 10.1016/j.radcr.2020.07.038
Abstrakt: Metastatic prostate carcinoma mainly occurs in bone as an osteoblastic lesion or lesions in the pelvis, spine, or chest wall. We present a unique case of a singular metastatic osteolytic lesion in the rib initially misdiagnosed as a fracture in a 61-year-old male. A single rib fracture in a patient with no history of trauma should raise suspicion for metastatic disease. We would encourage prostate cancer to be included in the differential diagnosis for an osteolytic lesion in a male over the age of 40. We review the current literature on this rare presentation of bone metastasis as well as the pathogenesis of metastatic prostate carcinoma as it relates to a solitary metastatic osteolytic lesion.
(© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE