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Pathological fracture of the femoral shaft due to lung cancer metastasis

Case contributed by Sajoscha A. Sorrentino
Diagnosis almost certain

Presentation

Sudden pain in the leg without trauma in a patient with known lung cancer.

Patient Data

Age: 85 years
Gender: Male

Undisplaced fracture of the right femoral shaft through an intramedullary osteolytic lesion.

Chest x-ray shows a mass in the left upper field with ipsilateral hilar and mediastinal shadows suggesting lymphadenopathy.

Case Discussion

Pathological fracture of the right femoral shaft due to lung cancer metastasis.

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