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

 -  2020 
<br/><br/> 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. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>1930-0433 
<br/><br/><label>Standard No.: </label>10.1016/j.radcr.2020.07.038 [doi] PMC7413992 [pmc] S1930-0433(20)30345-9 [pii] 
<br/><br/><label>Subjects--Topical Terms: </label><br/>IN PROCESS -- NOT YET INDEXED
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Orthopedic Oncology
<br/><br/><label>Index Terms--Function: </label><br/>Case Reports