EURORAD ESR

Case 1778

Metastasis to the carpus as the clinical presentation of bronchogenic carcinoma

Author(s)
Z. Abiddin, V. Kane, R.F. Steingold
 
Patient
male, 58 year(s)
 
 
  • Figure 1
    Wrist x-ray at presentation

    The x-ray shows an osteolytic lesion in the trapezium with some erosion of the cortex. There is however, no fracture of the scaphoid.

     
    Area of Interest: unknown; Imaging Technique: Wrist x-ray at presentation;
     
     
  • Figure 2
    Wrist x-ray a few weeks after injury

    The x-ray shows complete resorption of the trapezium with preservation of the distal articular margin only. This is highly suggestive of an agressive lesion due to metastasis. A giant cell tumour would be a rare...

     
    Area of Interest: unknown; Imaging Technique: Wrist x-ray a few weeks after injury;
     
     
  • Figure 3
    Chest x-ray

    The x-ray shows involvement of the hilar region and the middle lobe of the right lung suggestive of primary bronchogenic carcinoma. The rest of the lung appears clear.

     
    Area of Interest: unknown; Imaging Technique: Chest x-ray;
     
     
The x-ray shows an osteolytic lesion in the trapezium with some erosion of the cortex. There is however, no fracture of the scaphoid.
 
The x-ray shows complete resorption of the trapezium with preservation of the distal articular margin only. This is highly suggestive of an agressive lesion due to metastasis. A giant cell tumour would be a rare differential diagnosis.
 
The x-ray shows involvement of the hilar region and the middle lobe of the right lung suggestive of primary bronchogenic carcinoma. The rest of the lung appears clear.
 
 
 
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