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

Autor: Sarah M. Trent, BS, John W. Krumme, MD, Robert M. Henshaw, MD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Radiology Case Reports, Vol 15, Iss 10, Pp 1795-1798 (2020)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2020.07.038
Popis: 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.
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