This document discusses numerous cases of patients presenting with bone lesions that were initially suspected to be metastatic disease but were later determined to be other diagnoses. Case 1169 describes a 47-year-old female whose stress fracture of the femoral neck was mistaken for a metastatic lesion. Imaging and biopsy revealed the lesion was actually a pseudotumor caused by osteoporosis. Similarly, Case 1169.1 involves a 43-year-old female on steroids whose bilateral hip pain was from stress fractures, not metastases as indicated on her bone scan. The document emphasizes that various benign bone conditions can resemble metastatic bone cancer on imaging and biopsy is often needed for accurate diagnosis.
Squamous cell carcinoma in the native kidney of a renal transplant recipient ...Apollo Hospitals
We are reporting a case of squamous cell carcinoma of the native kidney in a renal
transplant recipient. A 54-year-old gentleman, a renal transplant recipient for three years,
presented with flank pain. On evaluation he was found to have a mass in the upper pole of
the left native kidney. Renal angiogram was done which showed a functioning transplanted
kidney with a large mass arising from the upper pole of the left native kidney. He
underwent nephrectomy. The histopathology reported a squamous cell carcinoma. He was
given adjuvant radiotherapy to the tumor bed using image guided radiotherapy thereby
delivering a differential dose to the high risk areas and preserving the surrounding normal
structures. He developed a urethral nodule which was found to be a squamous cell carcinoma.
The lesion was excised with clear margins. We present this case because it is rare
and to discuss adjutant management.
Case Review #5: 67 year old woman with flatback syndrome following 5 spinal s...Robert Pashman
A 67 year old female presented to Dr. Pashman with severe Flat back Syndrome after 5 previous spine surgeries for Adult Idiopathic Scoliosis. Dr. Pashman treated her with a Posterior Spinal Fusion from T8 to S1.
Squamous Cell Carcinoma in the Native Kidney of a Renal Transplant Recipient ...Apollo Hospitals
We are reporting a case of squamous cell carcinoma of the native kidney in a renal transplant recipient. A 54-year-old gentleman, a renal transplant recipient for three years, presented with flank pain. On evaluation he was found to have a mass in the upper pole of the left native kidney. Renal angiogram was done which showed a functioning trans-
planted kidney with a large mass arising from the upper pole of the left native kidney. He underwent nephrectomy. The histopathology reported a squamous cell carcinoma. He was given adjuvant radiotherapy to the tumor bed using image guided radiotherapy thereby delivering a differential dose to the high risk areas and preserving the surrounding normal structures. He developed a urethral nodule which was found to be a squamous cell carcinoma. The lesion was excised with clear margins. We present this case because it is rare and to discuss adjuvant management.
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
151. Post op bipolar prosthesis
because surgeon thought
patient had metastatic
disease when in fact the
femoral lesion and the
rib fracture are osteoporotic
pseudotumors
152. Case #1169.1 Stress fractures
43 yr female on steroids for lupus with bilat hip pain for 6 months