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  • 1. Volume 12Metastatic carcinoma----------Case 1122-1169
  • 2. Case #112254 year male with priorhistory of metastatic renalcell CA to proximal femurwith DHS & cement fixationand post op radiation therapy
  • 3. One year later withrecurrent tumor
  • 4. Surgical specimen tumorfollowing wide resection bulgeproximal femur
  • 5. Photomic
  • 6. Autoclaved prox femurplaced over long stemfemoral component
  • 7. cementCemented back innormal anatomic positionwith THA osteotomy
  • 8. 5 months post op withradiolucent cement
  • 9. 18 months post op
  • 10. Case #1124 58 year male with metastatic renal cell CA to pelvis
  • 11. Post op treatment withradiolucent cementTHA and radiation therapy
  • 12. Case #112565 year male with path fracture thru metastatic renal cell CA in sciatic notch area
  • 13. Case #112648 year male with largehemorrhagic renal cellCA distal humerus tumor
  • 14. Case #112766 year male withmetastatic renal cell CApost op ORIF, pinfixation and post op RT
  • 15. Case #1128 61 year female with metastatic renal cell CA hip area
  • 16. Lytic lesion in clavicle
  • 17. Metastatic Renal CellMultiple lesions in both hands
  • 18. Case #1128.1 57 year male with renal cell CA metastasis to fibular
  • 19. 6 months later without treatment
  • 20. Bone scan
  • 21. Sagittal T-2 MRI
  • 22. Photomic
  • 23. Case #1129 61 year female with metastatic aneurysmal renal cell CA to distal tibia
  • 24. Photomic
  • 25. Case #1130 Metastatic Renal Cell 45 year male with metastatic renal cell CA to os calcis
  • 26. Sagital T-1 MRI
  • 27. tumorSagittal T-2 MRI
  • 28. Axal T-1 MRI
  • 29. Axial T-2 MRI
  • 30. Photomic
  • 31. Case #113154 year female with metastatic aneurysmal thyroid to pelvis
  • 32. CT scan
  • 33. Case #1132 45 year female with lytic thyroid metastasis to pelvis
  • 34. tumor tumorRapid progression without treatment 6 months later
  • 35. Case #1133 MetastaticThyroid 52 year female with metastatic thyroid CA to pelvis
  • 36. Case #1134 54 year female with metastatic thyroid CA to pelvis
  • 37. Case #113548 yr male with metastatic blastic thyroid met to femoral neck
  • 38. Bone scan
  • 39. Case #1135.121 year female with large pelvic mass which turned out to be a metastatic thyroid metastasis from an ovarian teratoma
  • 40. Pelvic metastasis seen on PO x-ray following teratoma surgery
  • 41. tumorBone scan
  • 42. tumorSciatic notch level
  • 43. tumorSupra acetabular level
  • 44. I-131 isotope scan prior to teratoma surgery showsuptake in both the ovarian teratoma and pelvic met
  • 45. Surgical specimen from resection of pelvic metastasis
  • 46. Photomic from thyroid metastasis
  • 47. Placement of multiple Steinman pins prior to cementation
  • 48. Bone cement placed over pins
  • 49. Post op reconstruction with pins and cement
  • 50. Case #113665 year female with old rh arth with multi THA’s and currentpseudoarthrosis; on coumadin and painful lytic lesion ilium
  • 51. CT scan looks like metastatic hemorrhagic thyroid or renal CA
  • 52. hematomaAxial T-1 MRI shows large iliac hematoma and at biopsy no tumor was found
  • 53. old hemorrhageAxial T-2 MRI showing large hemorrhagic pseudotumor
  • 54. Case #1137 CT scan blood 91 year female with aneurysmal pseudotumor of sternum thought to be metastatic renal or thyroid met; instead an aortic aneurysm
  • 55. Case #1138 70 year male with metastatic blastic prostate R hemipelvis
  • 56. Bone scan
  • 57. tumorPhotomic showing reactive osteoid formation
  • 58. Case #1138.184 year male with pathologicfracture humerus 2nd tometastatic lytic form ofprostate CA
  • 59. Case #113972 year male with blastic prostate mets to pelvis & L-spine
  • 60. osteoid Photomic
  • 61. Case #1140 Metastatic prostate79 year male with painless blastic mets to pelvis & prox femur
  • 62. osteoidtumor Photomic showing reactive osteoid
  • 63. Case #114183 year male with lyticprostate metastasis toC-2
  • 64. Lateral laminogram
  • 65. Photomic
  • 66. Case #114238 year male with metastatic testicular CA & path fracture right proximal femur
  • 67. Bone scan showingmultiple mets to ribs,pelvis, spine, shoulder,and femur R
  • 68. Rconstruction with cemented bipolar implant and RT
  • 69. Sagittal T-1 MRIshowing multiple metsto L-spine
  • 70. Case #1143 Metastatic Lung 73 year male with lytic lung met to the intercondylar area
  • 71. Lateral view
  • 72. Bone scan
  • 73. Coronal T-1 MRI
  • 74. Coronal T-2 MRI
  • 75. Axial T-1 MRI
  • 76. Sagittal T-1 MRI
  • 77. Sagittal T-2 MRI
  • 78. Chest x-ray showing primary lung CA
  • 79. Case #1143.155 year male withsubtroch path fracture2nd to metastatic lung CA
  • 80. Lateral view
  • 81. Case #114455 year female withmetastatic lung CAto distal tibia
  • 82. Chest x-ray showing primary lung CA
  • 83. Case #1145 37 year male with metastatic lung CA to pelvis
  • 84. CT scan
  • 85. Coronal T-1 MRI
  • 86. Axial T-2 MRI
  • 87. Case #114643 year male withmetastatic lung CAto distal humerus
  • 88. Lateral view
  • 89. Chest x-ray showing primary lung CA right apex
  • 90. Case #1147 Metastatic Lung46 year male with central fracture dislocation thru metastatic lung CA of left peri-acetabular area
  • 91. Post op appearance followingmodified internal hemipelvec-tomy with cement and pinswith THA
  • 92. Case #114858 year male withmetastatic squamouscell CA from rightthigh skin to rightsupra-acetabular area
  • 93. Post op appearance following an internal hemipelvectomy
  • 94. Case #114943 year female withmetastatic lung todistal fibula
  • 95. Case #1150 44 year male with metastatic lung to distal thumb
  • 96. AP view
  • 97. Case #1151 Metastatic Rectal Carcinoma 46 year male with metastatic rectal CA to acetabulum
  • 98. Post op appearance followingcemented THA
  • 99. Acetabular biopsy photomic
  • 100. Case #1152 Rectal Carcinoma49 year female with blastic rectal CA metastasis to pelvis
  • 101. Case #1153 Colon CA67 year male with colon metastasis to toes with prior amp
  • 102. Case #1154 Abdominal Carcinoid to Bone74 year female withmetastatic abdominalcarcinoid to humerus
  • 103. Post op cementedIM nail
  • 104. Case #1155 Metastatic Hepatoma62yr male with metastatic hepatoma prox femur with fracture
  • 105. Lateral view
  • 106. Post op ORIF
  • 107. Mets to lung as well
  • 108. Case #1155.1 Metastatic Hepatoma 9/9 9/26 10/21 51 yr male with pain 3 wks prior to fracture of humerus
  • 109. Axial T-1 MRI Bone scan
  • 110. CT of liver showing primary hepatoma lesion
  • 111. Case #1156 Metastatic Gallbladder 49 year female with metastatic gallbladder CA to skull
  • 112. Photomic skull biopsy
  • 113. Case #1157 Pancreatic Carcinoma to Bone63 year male with priorhistory of spine fusionand recent pancreaticCA met to L-5
  • 114. Photomic from L-5 biopsy
  • 115. Case #1158 Transitional Bladder CA69 year male withmetastatic transitionalbladder CA to femur
  • 116. Cae #1159 Transitional Bladder CA to Bone66 year male with metastatictransitional bladder CAto femur with path fracture
  • 117. Axial T-2 MRI showingmetastatic transitionalCA to brain
  • 118. Case #1160 Cervical CA52 year female with metastatic cervical CA to R hemipelvis
  • 119. Case #1161 Endometrial CA 54 year female with endometrial CA uterus to pelvis
  • 120. tumorheterotopic ossification One year later without treatment
  • 121. osteoid Photomic from pelvic metastatsis
  • 122. photomic of endometrial adenocarcinoma
  • 123. Case #1161.1 Endometrial CA 57 year female with leg and heal pain for one year
  • 124. Post op cemented IM nail
  • 125. Case #1161.2 Endometrial CA 63 yr female with prior history of endometrial CA
  • 126. Case #1162 Metastatic Melenoma27 year male with pathfracture thru metastaticmelanoma from thighskin where he had aresection 4 yrs ago
  • 127. Black pigmentation in biopsy specimen
  • 128. Post op fixation withcemented IM nail
  • 129. Case #1162.1 Metastatic melanoma 29 year male with pain left hip for 6 weeks
  • 130. Post op x-ray
  • 131. Case #1163 Metastatic Breast53 year female withmetastatic breast CAright shoulder
  • 132. Biopsy specimen showing neoplastic induced osteoclysis
  • 133. Case #1163.1 Metastatic Breast looking like Bone Islands 54 yr female with history of breast CA 7 yrs ago
  • 134. Case #116416 year male with boneisland proximal femurlooking like a blasticmetastasis
  • 135. CTscan
  • 136. Coronal T-2 MRI
  • 137. Axial T-2 MRI
  • 138. Macro section of resected bone island specimen
  • 139. Case #116545 year female with multiple bone islands looking like mets
  • 140. Case #1166 CT scan 35 year male with bone island ilium looking like a blastic metastatsis
  • 141. Axial T-2 MRI
  • 142. Case #1167 CT scan56 year female with bone island looking like blastic metastasis
  • 143. Negative bone scan suggests a pseudotumor diagnosis
  • 144. Case #116843 year female withvertebral bone islandlooking like a blasticmetastasis
  • 145. Case #1168.1 Bone island Bone scan 55 year male with workup for possible bone metastasis
  • 146. Cor T-1 STIR Gad
  • 147. Case #116947 year female with stress fracture femoral neck looking like a blastic metastasis
  • 148. Bone scan showing hotspot left rib and right hip
  • 149. Photomic hip biopsy showing callous formation
  • 150. Photomic showing callous formation
  • 151. Post op bipolar prosthesisbecause surgeon thoughtpatient had metastaticdisease when in fact thefemoral lesion and therib fracture are osteoporoticpseudotumors
  • 152. Case #1169.1 Stress fractures 43 yr female on steroids for lupus with bilat hip pain for 6 months
  • 153. Bone scan
  • 154. PDCor T-1
  • 155. Axial PD

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