Case Identification
Case ID Number
Tumor Type
Body region
Position within the bone
Periosteal reaction
Benign or Malignant
Clinical case information
Case presentation
A 52 year old gentleman presents with a 6 month history of pain in his left lower side and left groin. He was admitted to hospital with pain and malaise.
Radiological findings:
Plain radiographs reveal a large osteolytic lesion in the left ilium directly superior to the left acetabulum. It measures approximately 5.4cm in its largest dimension. The lesion is ovoid in shape and relatively well-circumscribed. There is no surrounding sclerosis or periosteal reaction. The lesion is not expansile. CT of the pelvis show multiple smaller osteolytic lesions throughout the pelvis bilaterally. The left-sided lesion has not completely eroded the cortex. There are no fractures or protrusio femoris. There is a smaller osteolytic lesion in the right ilium but not in contact with the acetabulum on that side.
Laboratory results:
Blood tests: Hypercalcaemia, hyperuricaemia and reduced eGFR.
Differential Diagnosis
Multiple myeloma
Pathology results:
Pending
Treatment Options:
Chemotherapy. Fracture prophylaxis for the large left ileal osteoyltic lesion.
Image
Case ID Number
Image Types
Image modality
Tumor Name
Example Image
no
Tumor Type
Benign or Malignant
Body region
position within the bone
Tumor density
