Title

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

Document Type

Journal Article

Publication Date

10-1-2020

Journal

Radiology Case Reports

Volume

15

Issue

10

DOI

10.1016/j.radcr.2020.07.038

Keywords

Bone metastases; Metastatic prostate carcinoma; Osteolytic; Rib fracture; Skeleton

Abstract

© 2020 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.

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