Presentation
Knee pain.
Patient Data
Age: 70
Gender: Male
From the case:
Fibular metastasis - non small cell lung cancer
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Extensive lytic destruction of the proximal metaphysis of the right fibula
Case Discussion
The patient has a known history of metastatic NSCLC.
Distal appendicular metastases are uncommon, especially below the level of the knee or elbow. Lung cancer is one of the more common malignancies to metastasize distally.