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Metastatic prostate carcinoma: A rare presentation initially misdiagnosed as a rib fracture.

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Citation: Radiology Case Reports. 15(10):1795-1798, 2020 Oct.PMID: 32793320Institution: MedStar Washington Hospital CenterDepartment: Orthopedic OncologyForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2020 ISSN:

1930-0433

Name of journal: Radiology case reportsAbstract: Metastatic prostate carcinoma mainly occurs in bone as an osteoblastic lesion or lesions in the pelvis, spine, or chest wall. We present a unique case of a singular metastatic osteolytic lesion in the rib initially misdiagnosed as a fracture in a 61-year-old male. A single rib fracture in a patient with no history of trauma should raise suspicion for metastatic disease. We would encourage prostate cancer to be included in the differential diagnosis for an osteolytic lesion in a male over the age of 40. We review the current literature on this rare presentation of bone metastasis as well as the pathogenesis of metastatic prostate carcinoma as it relates to a solitary metastatic osteolytic lesion. Copyright (c) 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.All authors: Henshaw RM, Krumme JW, Trent SMFiscal year: FY2021Digital Object Identifier:

https://dx.doi.org/10.1016/j.radcr.2020.07.038

Date added to catalog: 2020-09-02

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Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	32793320	Available		32793320

Metastatic prostate carcinoma mainly occurs in bone as an osteoblastic lesion or lesions in the pelvis, spine, or chest wall. We present a unique case of a singular metastatic osteolytic lesion in the rib initially misdiagnosed as a fracture in a 61-year-old male. A single rib fracture in a patient with no history of trauma should raise suspicion for metastatic disease. We would encourage prostate cancer to be included in the differential diagnosis for an osteolytic lesion in a male over the age of 40. We review the current literature on this rare presentation of bone metastasis as well as the pathogenesis of metastatic prostate carcinoma as it relates to a solitary metastatic osteolytic lesion. Copyright (c) 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

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