Presentation
Painful hip. No history of trauma.
Patient Data
Age: 70 years
Gender: Male
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Avulsion of the lesser trochanter of the left femur. Lucent region in the intertrochanteric region. No other fracture. Alignment within normal limits.
Case Discussion
Non-traumatic avulsion of the lesser trochanter should be considered as metastatic disease until proven otherwise as demonstrated on biopsy in this patient.
PATHOLOGIST COMMENT: Features demonstrate a B-cell lymphoma with small to medium cells.
DIAGNOSIS: Left proximal femur, biopsy: B-cell lymphoma, NOS