10 KB86 KB8 KB199220252003Homma, ShinsukeKodama, TakahideSatoh, HiroakiSekizawa, KiyohisaUeno, Takahiroletnik:37številka:44 stranistr. 221-224ISSN:1318-2099COBISSID:17382617URN:URN:NBN:SI:doc-RZBTW2R4enAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)AdenocarcinomaAdenokarcinomAgedBone NeoplasmsdiagnostikaKostne novotvorbeLung NeoplasmsmetastazeNeoplasm MetastasisNovotvorba, metastazaPljučne novotvorbepljučni rakPubic BoneSecondarysramna kostSramnicaStarostnikiPubic bone metastasis as first manifestation of lung cancer|Background. Pubic bone metastasis as the initial manifestation of lung cancer is very rare, and it may simulate parasymphyseal insufficiency fracture of thepubic bone, which is observed in postmenopausal women and elderly people. Case report. A 65-year-old woman developed pain in the right flank, which extended to the anterior aspect of the thigh. A pelvic X-ray showed osteolyticlesion in the right pubic ramus. Chest radiograph revealed a nodularmass in the right middle lobe of the lung. Transbronchal biopsy of the mass led to tlve diagnosis of lung adenocarcinoma. The patient was given radiotherapy of osteolytic lesion in her right pubic ramus and the pain was controlled with a combination of morphine sulfate. Conclusions. When unusual bone metastasis is found in the absence of a primary tumor, investigation mustinclude chest radiographsIzhodišča. Metastaze sramne kosti so kot prvi znak pljučnega raka zelo redke. Napačno jih lahko ocenimo kot parasimfizealne osteoporotične frakture, ki so pogoste pri postmenopauzalnih ženah in pristarostnikih. Prikaz primera. 65-letna bolnica je tožila zaradi bolečin v predelu desnega boka, ki so se širile v prednji del stegna. Z roentgenskim slikanjem medenice smo odkrili osteolitično spremembo v predelu zgornjega ramusa sramne kosti. Roentgenska slika prsnih organov pa je pokazala nodularni infiltrat v predelu srednjega režnja desnih pljuč. S pomočjo transbronhialne biopsije smo ugotovili, da ima bolnica bronhialni adenokarcinom. Bolnici smo obsevali prizadeti del kosti, bolečine pa dodatno umirili z morfinskim zdravilom. Zaključki. Ob odkritju neobičajne kostne metastaze, ko še nismo odkrili primarnega tumorja, moramo najprej pomisliti na pljučni karcinom in narediti rentgensko slikanje prsnih organovTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije