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Case Reports
. 2009:2009:352085.
doi: 10.1155/2009/352085. Epub 2009 Jun 16.

Solitary tibial osteolytic lesion

Emilios E Pakos  1 , Dimitrios N Gartzonikas, Pericles G Tsekeris, Theodore A Xenakis
Affiliations
Case Reports

Solitary tibial osteolytic lesion

Emilios E Pakos et al. Case Rep Med. 2009.

Abstract

We report an unusual case of solitary osteolytic tibial metastasis from a primary endometrial cancer in a 62-year-old woman. The primary cancer was treated with total abdominal hysterectomy and bilateral salpingo-oophorectomy combined with postoperative external beam radiotherapy, while the tibial metastasis was treated with an above knee amputation. The rarity of the case lies on the fact that metastases distally to the elbow and knee are uncommon and endometrial cancer rarely gives distal bone metastases and particularly solitary to the extremities.

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Figures

Figure 1
Figure 1
Radiograph showing an osteolytic lesion to the distal third of the tibia with cortical destruction.
Figure 2
Figure 2
CT-scan of the tibia showing an intramedullar mass which destructs the cortical bone and spreads into the adjacent soft tissues.
Figure 3
Figure 3
Radiograph of the tibial metastasis showing the increased dimensions and the soft-tissue mass.
See this image and copyright information in PMC

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