Clinics in Diagnostic Imaging (82)

WCG Peh, M Muttarak
Correspondence: Prof Wilfred C G Peh, gdrpcg@sgh.com.sg

ABSTRACT
A 73-year-old woman who had previous mastectomy for breast carcinoma presented with persistent pain over the left hip area for two to three months. Pelvic radiograph showed an expanded osteolytic lesion involving the lesser trochanter of the left femur, with adjacent ill-defined destructive changes. She subsequently developed a displaced pathological fracture through the lesser trochanteric metastasis. The clinical features and pathophysiology of bone metastases are discussed. The role of imaging, with additional illustrative examples, is emphasised.

Keywords: breast carcinoma, bone metastasis, radiograph, magnetic resonance imaging, bone scintigraphy
Singapore Med J 2003; 44(2): 101-105